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Coccygodynia review: coccygectomy case series

  • Waleed Mohammad Awwad
  • Munir Saadeddin
  • Jbreel Nasser AlsagerEmail author
  • Fahad Mohammad AlRashed
Original Article • SPINE - COCCYX

Abstract

Background

Coccygodynia is a pain of the coccyx that is typically exaggerated by pressure. Management includes anti-inflammatory medications, physiotherapy, and coccyx manipulation. Coccygectomy is the surgical approach for treating coccygodynia when the conservative management fails. Generally, coccygectomy yields good results. Its most common complication is wound infection.

Objective

To determine the effectiveness of coccygectomy in patients with coccygodynia.

Methods

A retrospective review of 70 patients (52 females and 18 males) with coccygodynia at King Khalid University Hospital in Riyadh was carried out, and the outcomes were studied. Twenty patients did not respond to conservative management; therefore, bimanual coccyx manipulation was done. Eleven were identified with instability and did not respond to coccygeal manipulation. Coccygectomy was performed on 8 patients while 3 declined.

Results

All patients who underwent coccygectomy showed improvement of their symptoms. One case of superficial wound infection and delayed wound healing was encountered.

Conclusion

Coccygectomy provides effective pain relief to patients not responding to conservative therapies.

Keywords

Coccygodynia Coccygectomy Manipulation Conservative treatment Coccyx pain 

Notes

Compliance with ethical standards

This research was approved by the institutional review board, college of Medicine, King Saud University.

Conflict of interest

The authors Waleed Mohammad Awwad, Munir Saadeddin, Jbreel Nasser Alsager, and Fahad Mohammad AlRashed declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag France 2017

Authors and Affiliations

  • Waleed Mohammad Awwad
    • 1
  • Munir Saadeddin
    • 1
  • Jbreel Nasser Alsager
    • 1
    Email author
  • Fahad Mohammad AlRashed
    • 1
  1. 1.Orthopedic Department, College of MedicineKing Saud UniversityRiyadhSaudi Arabia

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