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Coccygectomy for Coccygodynia: A Single Center Experience Over 5 Years.
Asian J Neurosurg 2018 Apr-Jun; 13(2):277-282AJ

Abstract

Introduction

Coccygodynia refers to a pathological condition in which pain occurs in the coccyx or its immediate vicinity. The pain is usually provoked by sitting or rising from sitting. Several studies have reported good or excellent results after coccygectomy especially in patients who are refractory to conservative treatment.

Aims and Objectives

This study aims to evaluate the role and effectiveness of coccygectomy in chronic refractory coccygodynia.

Materials and Methods

Between January 2011 and January 2015, 16 consecutive patients (4 males and 12 females) who underwent surgical coccygectomy were enrolled prospectively in the study. All patients suffered from treatment-resistant coccygodynia and had exhausted conservative therapeutic options for at least 6 months before undergoing surgery. The same surgeon performed a complete coccygectomy on all patients. Postoperative outcomes included measurements of pain relief and degree of patient satisfaction with the procedure's results.

Results

The average age of patient was 37.93 years (range: 25-53 years), and the male to female ratio was 1:3. The median duration of patient-reported symptoms prior to surgery was 24 months. The most common cause of coccygodynia was direct or indirect trauma, recorded in 11 patients (68.75%). Idiopathic coccygodynia was five cases (31.25%). The number of patients with outcomes rated as "excellent," "good," "fair," and "poor" were 12, 2, 1, and 1, respectively. The favorable result (excellent or good) was 87.5%. The self-reported visual analog scale (VAS) was significantly improved by surgery. The mean VAS preoperatively was 9.62, and postoperatively it was 2.25 (P < 0.001). There were two infections (12.5%) among the 16 patients which were managed conservatively.

Conclusions

Coccygectomy for chronic intractable coccygodynia is simple and effective, with a low complication rate.

Authors+Show Affiliations

Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.Department of Neurosurgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29682021

Citation

Sarmast, Arif Hussain, et al. "Coccygectomy for Coccygodynia: a Single Center Experience Over 5 Years." Asian Journal of Neurosurgery, vol. 13, no. 2, 2018, pp. 277-282.
Sarmast AH, Kirmani AR, Bhat AR. Coccygectomy for Coccygodynia: A Single Center Experience Over 5 Years. Asian J Neurosurg. 2018;13(2):277-282.
Sarmast, A. H., Kirmani, A. R., & Bhat, A. R. (2018). Coccygectomy for Coccygodynia: A Single Center Experience Over 5 Years. Asian Journal of Neurosurgery, 13(2), pp. 277-282. doi:10.4103/1793-5482.228568.
Sarmast AH, Kirmani AR, Bhat AR. Coccygectomy for Coccygodynia: a Single Center Experience Over 5 Years. Asian J Neurosurg. 2018;13(2):277-282. PubMed PMID: 29682021.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coccygectomy for Coccygodynia: A Single Center Experience Over 5 Years. AU - Sarmast,Arif Hussain, AU - Kirmani,Altaf Rehman, AU - Bhat,Abdul Rashid, PY - 2018/4/24/entrez PY - 2018/4/24/pubmed PY - 2018/4/24/medline KW - Coccygectomy KW - coccygodynia KW - sacrococcygeal joint SP - 277 EP - 282 JF - Asian journal of neurosurgery JO - Asian J Neurosurg VL - 13 IS - 2 N2 - Introduction: Coccygodynia refers to a pathological condition in which pain occurs in the coccyx or its immediate vicinity. The pain is usually provoked by sitting or rising from sitting. Several studies have reported good or excellent results after coccygectomy especially in patients who are refractory to conservative treatment. Aims and Objectives: This study aims to evaluate the role and effectiveness of coccygectomy in chronic refractory coccygodynia. Materials and Methods: Between January 2011 and January 2015, 16 consecutive patients (4 males and 12 females) who underwent surgical coccygectomy were enrolled prospectively in the study. All patients suffered from treatment-resistant coccygodynia and had exhausted conservative therapeutic options for at least 6 months before undergoing surgery. The same surgeon performed a complete coccygectomy on all patients. Postoperative outcomes included measurements of pain relief and degree of patient satisfaction with the procedure's results. Results: The average age of patient was 37.93 years (range: 25-53 years), and the male to female ratio was 1:3. The median duration of patient-reported symptoms prior to surgery was 24 months. The most common cause of coccygodynia was direct or indirect trauma, recorded in 11 patients (68.75%). Idiopathic coccygodynia was five cases (31.25%). The number of patients with outcomes rated as "excellent," "good," "fair," and "poor" were 12, 2, 1, and 1, respectively. The favorable result (excellent or good) was 87.5%. The self-reported visual analog scale (VAS) was significantly improved by surgery. The mean VAS preoperatively was 9.62, and postoperatively it was 2.25 (P < 0.001). There were two infections (12.5%) among the 16 patients which were managed conservatively. Conclusions: Coccygectomy for chronic intractable coccygodynia is simple and effective, with a low complication rate. SN - 1793-5482 UR - https://www.unboundmedicine.com/medline/citation/29682021/Coccygectomy_for_Coccygodynia:_A_Single_Center_Experience_Over_5_Years L2 - http://www.asianjns.org/article.asp?issn=1793-5482;year=2018;volume=13;issue=2;spage=277;epage=282;aulast=Sarmast DB - PRIME DP - Unbound Medicine ER -