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Coccygodynia review: coccygectomy case series

  • Original Article • SPINE - COCCYX
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

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.

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Authors and Affiliations

  1. Orthopedic Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia

    Waleed Mohammad Awwad, Munir Saadeddin, Jbreel Nasser Alsager & Fahad Mohammad AlRashed

Authors
  1. Waleed Mohammad Awwad
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  2. Munir Saadeddin
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  3. Jbreel Nasser Alsager
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  4. Fahad Mohammad AlRashed
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Corresponding author

Correspondence to Jbreel Nasser Alsager.

Ethics declarations

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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Awwad, W.M., Saadeddin, M., Alsager, J.N. et al. Coccygodynia review: coccygectomy case series. Eur J Orthop Surg Traumatol 27, 961–965 (2017). https://doi.org/10.1007/s00590-017-1947-3

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  • DOI: https://doi.org/10.1007/s00590-017-1947-3

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