J Korean Orthop Assoc.  2014 Jun;49(3):209-213.

Coccygectomy for Treatment of Coccygodynia

Affiliations
  • 1Department of Orthopedic Surgery, Soonchunhyang University College of Medicine, Cheonan, Korea. chhong@sch.ac.kr
  • 2Department of Orthopedic Surgery, College of Medicine, Konyang University, Daejeon, Korea.
  • 3Department of Orthopedic Surgery, Cemtum Orthopedic Hospital, Daejeon, Korea.

Abstract

PURPOSE
Coccygodynia is a painful condition localized in the region of the coccyx. Most cases of coccygodynia are treated conservatively. However, we conducted an analysis of patients who underwent coccygectomy, with chronic intractable coccygodynia and assessed the results of their treatment.
MATERIALS AND METHODS
From March 2003 to August 2013, this study was conducted in order to investigate the benefit of coccygectomy in cases where conservative treatment has failed. We compared preoperative and postoperative visual analog scales (VAS) scores and confirmed duration of symptom free, complications.
RESULTS
The average duration of symptom free was 3.4 months, and VAS score improved from 7.3 to 1.6. There was one wound infection.
CONCLUSION
We can obtain satisfactory results through coccygectomy for chronic intractable coccygodynia.

Keyword

coccygodynia; coccygectomy

MeSH Terms

Coccyx
Humans
Visual Analog Scale
Wound Infection

Figure

  • Figure 1 This photo shows plain radiographs. (A) Preoperative; (B) postoperative.

  • Figure 2 This photo shows the removed coccyx in the operative room.


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