Coccygodynia

Mlitz, Horst; Jost, Wolfgang H.

doi:10.1111/j.1610-0387.2007.06090.x

Cited by 4 publications

(8 citation statements)

References 14 publications

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“…Chronic coccygodynia is defined as lasting > 2 months. 32 Of note is the fact that coccygodynia may often coexist with low-back pain. In one coccygectomy series, 10 of 13 patients had coexisting lumbar spine disorders including painful discs on provocative discography, disc herniations, and sacroiliac joint disease.…”

Section: Discussionmentioning

confidence: 99%

“…Interdisciplinary guidelines for the treatment of coccygodynia published as recently as 2007 by the German Society of Coloproctology in cooperation with the German Society of Dermatology recommend that "surgical measures should be viewed with caution." 32 This pervasive skepticism, dating back to a scathing criticism of the procedure by Bremer in 1896, 8 may have contributed to a lack of awareness of coccygodynia and a lack of experience with coccygectomy surgery among general and spinal neurosurgeons who are likely to encounter the disorder in clinical practice and who have the opportunity to diagnose and treat it. We describe herein our experience with 62 consecutive coccygectomy surgeries in 61 patients for treatment of chronic intractable coccygodynia.…”

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confidence: 99%

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Coccygectomy for chronic refractory coccygodynia: clinical case series and literature review

Kerr¹,

Benson

Schrot³

2011

SPI

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Object Coccygodynia is disabling pain in the coccyx and is usually provoked by sitting or rising from sitting. The diagnosis can be missed by neurosurgeons likely to encounter the disorder, and surgical treatment for coccygodynia has historically been viewed with caution. The authors conducted a retrospective review of 62 successive coccygectomy surgeries for coccygodynia performed at their institution. Methods Sixty-two consecutive cases of coccygectomy for coccygodynia in 61 unique patients were identified from the surgical database; they had been treated between 1997 and 2009. The authors succeeded in contacting 26 patients for follow-up (42.6%). A retrospective chart review was performed, and a telephone questionnaire was administered to these patients. Data collected included cause, pre- and postoperative visual analog scale, a graded outcome measure, and patient satisfaction. The median follow-up time was 37 months (range 2–133 months). Results The clinical results among the 26 patients with follow-up were as follows: 13 excellent, 9 good, 2 fair, and 2 poor. The overall favorable (excellent and good) outcome after coccygectomy was 84.6%. There were 3 wound infections (11.5%). There were no rectal injuries. An overwhelming majority of patients were satisfied with the procedure. Conclusions The authors report the results of their clinical case series, which to date is the largest in North America. The results closely concur with previously published case series from Europe. Coccygectomy for chronic intractable coccygodynia is simple and effective, with a low complication rate. A comprehensive literature review and discussion of coccygectomy is provided.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Coccygectomy for chronic refractory coccygodynia: clinical case series and literature review

Kerr¹,

Benson

Schrot³

2011

SPI

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“…Coccydynia temporally related to childbirth might be considered traumatic but some rare cases are due to infection, cysts or tumours. 4 However, causation in many cases cannot be related directly to any objective, radiological or other pathological findings and these cases are classified as idiopathic in origin. Traumatic coccydynia is thought to occur more frequently than the idiopathic type.…”

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confidence: 99%

Coccygectomy: an effective treatment option for chronic coccydynia

Trollegaard

Aarby

Hellberg

2010

The Journal of Bone and Joint Surgery. British volume

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Between 1993 and 2008, 41 patients underwent total coccygectomy for coccydynia which had failed to respond to six months of conservative management. Of these, 40 patients were available for clinical review and 39 completed a questionnaire giving their evaluation of the effect of the operation. Excellent or good results were obtained in 33 of the 41 patients, comprising 18 of the 21 patients with coccydynia due to trauma, five of the eight patients with symptoms following childbirth and ten of 12 idiopathic onset. In eight patients the results were moderate or poor, although none described worse pain after the operation. The only post-operative complication was superficial wound infection which occurred in five patients and which settled fully with antibiotic treatment. One patient required re-operation for excision of the distal cornua of the sacrum. Total coccygectomy offered satisfactory relief of pain in the majority of patients regardless of the cause of their symptoms.

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“…Pain may radiate to the sacrum, to the lumbar spine, or laterally to the buttocks. Rectal pain or radicular symptoms present rarely; however, one-third of patients with coccygodynia have associated back pain [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Coccygodynia is categorized as either posttraumatic or idiopathic; true coccygodynia must be distinguished from pseudo-coccygodynia, in which pain is referred to the coccygeal region from visceral organs, dural irritation, or a radiculopathy.…”

Section: Introductionmentioning

confidence: 99%

“…Coccygodynia is categorized as either posttraumatic or idiopathic; true coccygodynia must be distinguished from pseudo-coccygodynia, in which pain is referred to the coccygeal region from visceral organs, dural irritation, or a radiculopathy. It can be classified as acute or chronic, the latter defined as pain lasting more than 2 months [16].…”

Section: Introductionmentioning

confidence: 99%

The Surgical Role in the Management of Persistent Coccygodynia in Adolescent and Pediatric Patients: A Retrospective Case Series

Shalaby

2021

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Coccygodynia has been described as a disabling pain in the coccyx usually associated with sitting or with changing position from a sitting to a standing position. Pain may radiate to the sacrum, to the lumbar spine, or laterally to the buttocks. Treatment has rarely been studied in the adolescent population. Purposes/Questions: This study aimed to assess pain relief and satisfaction after partial or total coccygectomy in pediatric and adolescent patients suffering from coccygodynia that was resistant to conservative treatment. Methods: A retrospective, consecutive case series was performed to review the data from the hospital records of 29 patients who underwent partial or total coccygectomy from January 2016 to January 2020 in a university hospital setting. Patients suffered from coccygodynia resistant to conservative treatment. The study included 16 female (55%) and 13 male (45%) patients who ranged in age from 3 to 15 years. Patient records were assessed for postoperative complications, period of hospital stay, time to regain normal activity, postoperative pain improvement (using a 4-point Likert scale), and patients’ or parents’ satisfaction (using a 5-point questionnaire). Results: Total coccygectomy was performed in 19 patients and partial coccygectomy in 10 patients. Only 1 patient had a superficial infection after surgery. The length of hospital stay was 1.44 ± 0.97 days. Time to regain normal activity was 24.68 ± 4.32 days. Pain relief was excellent (complete pain relief) in 23 cases (79.3%) and good (relief of most pain but mild discomfort after prolonged sitting) in 6 cases (20.7%). There were no reports of fair (minimal or no pain relief) or poor (pain worse than before surgery) pain relief. In terms of patient or parent satisfaction, no one reported being “absolutely dissatisfied,” 1 person was “dissatisfied” (3.4%), 3 people were “neither dissatisfied nor satisfied” (10.4%), 9 were “satisfied” (31%), and 16 were “absolutely satisfied” (55.2%). Conclusion: This case series suggests that coccygectomy may be a feasible management option for pediatric and adolescent patients, with favorable outcomes including pain relief, patient or parent satisfaction, and early return to activity.

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Coccygodynia

Cited by 4 publications

References 14 publications

Coccygectomy for chronic refractory coccygodynia: clinical case series and literature review

Coccygectomy for chronic refractory coccygodynia: clinical case series and literature review

Coccygectomy: an effective treatment option for chronic coccydynia

The Surgical Role in the Management of Persistent Coccygodynia in Adolescent and Pediatric Patients: A Retrospective Case Series

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