J Korean Soc Spine Surg.  2015 Jun;22(2):50-54. 10.4184/jkss.2015.22.2.50.

Clinical Outcomes of Coccygectomy for Chronic Coccygodynia

• Ha DH
• Oh SK
• Shin DJ
• Shim DM

• KMID: 2322952
• DOI: http://doi.org/10.4184/jkss.2015.22.2.50

Abstract

STUDY DESIGN: Retrospective study.
OBJECTIVES
To confirm the clinical outcomes of coccygectomy for intractable chronic coccygodynia. SUMMARY OF LITERATURE REVIEW: Coccygectomy has been reported to be one of the good options for the failure of conservative treatment.
MATERIALS AND METHODS
A retrospective review was conducted, including nine patients who underwent coccygectomy for intractable chronic coccygodynia.
RESULTS
Improvements in the mean visual analogue scale (VAS) scores, from 5.6 to 2.1, were observed. As for patient satisfaction, there were four cases with excellent outcomes, three with good outcomes, one with a fair outcome, and only one with a poor outcome. Surgical complications, such as wound infection, did not occur in any of the cases.
CONCLUSIONS
Irrespective of the causes, coccygectomy for chronic coccygodynia, for which nonsurgical management, including cushions, nonsteroidal anti-inflammatory drugs, and corticosteroid injections, has no effect, is considered a useful method because it brings definite pain relief and leads to high patient satisfaction.

Keyword

Coccygodynia; Coccygectomy

MeSH Terms

Humans
Patient Satisfaction
Retrospective Studies
Wound Infection

Figure

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  Fig. 1. Photograph of prominent coccyx.

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  Fig. 2. Preoperative lateral radiographs of the case (A) show anterior subluxation of the coccygeal mobile segment. (B) Magnetic resonance (MR) sagittal view also showing anterior sharp angulation of the coccygeal mobile segment.

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  Fig. 3. (A) Mobile coccygeal segment is observed through a proximal transverse incision. (B) Postoperative lateral radiograph showing removed state of coccygeal segment. (C) Postoperative photograph of the surgical wound.

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