Pediatric Surgery International

, Volume 33, Issue 3, pp 389–392 | Cite as

Use of intraoperative lateral pelvic X-ray to localize and ensure coccyx removal during sacrococcygeal teratoma resection

  • Claire E. Graves
  • Olajire Idowu
  • John Zovickian
  • Dachling Pang
  • Sunghoon Kim
Technical Innovation


En bloc removal of the coccyx during sacrococcygeal teratoma resection is necessary to decrease the risk of recurrence. However, variable anatomy often makes the border between the coccyx and sacrum difficult to identify. We describe the use of intraoperative lateral pelvic X-ray to localize this border and ensure complete coccygectomy.


Recurrence Sacrum Coccyx Sacrococcygeal teratoma Prognosis Imaging 


Compliance with ethical standards


This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Ethical approval

This procedure involving a human participant was in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

Informed consent

Informed consent was obtained from this patient’s legal guardian, and informed assent was obtained from the patient herself.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Claire E. Graves
    • 2
  • Olajire Idowu
    • 1
    • 2
  • John Zovickian
    • 3
  • Dachling Pang
    • 3
  • Sunghoon Kim
    • 1
    • 2
  1. 1.Division of Pediatric SurgeryUCSF Benioff Children’s HospitalsOaklandUSA
  2. 2.Division of Pediatric SurgeryUCSF Benioff Children’s HospitalsSan FranciscoUSA
  3. 3.Division of Pediatric NeurosurgeryKaiser Permanente Medical CenterOaklandUSA

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