Format

Send to

Choose Destination
See comment in PubMed Commons below
Spine (Phila Pa 1976). 2006 Jun 1;31(13):E414-20.

Coccygectomy for coccydynia: case series and review of literature.

Author information

1
Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom. balainb@yahoo.com

Abstract

STUDY DESIGN:

This is a case series in which case notes review and telephone interview update were used to assess the outcome following coccygectomy.

OBJECTIVE:

To correlate the clinical results of coccygectomy with histology and discography of the sacrococcygeal and intercoccygeal segments.

SUMMARY OF BACKGROUND DATA:

Clinicians regard chronic disabling pain in the sacrococcygeal region with much dismay because of the reputed unpredictability of the treatment outcome.

METHODS:

A total of 38 patients had coccygectomy for intractable coccydynia, and 31 were available for follow-up. The excised specimen with intact sacrococcygeal joint was sent for histologic examination in 22 patients. There were 6 patients investigated using sacrococcygeal and intercoccygeal discography.

RESULTS:

Mean postoperative follow-up was 6.75 years (range 2-16). There were 16 patients who benefited highly from the surgery, and 6 benefited to some extent, giving an overall beneficial result of 71%. Of all specimens, 86.3% had histologic changes of degeneration. Moderate-to-severe degenerate changes in sacrococcygeal and intercoccygeal joints on histology were found in 54.5% of patients. Of these patients, 83.3% did well with surgery. Only 57.1% of those patients with mild changes did well. There were 2 patients who had positive discography, and both did well with surgery. Three patients had negative diskographies, and 2 of them had a poor result, and 1 had only some relief.

CONCLUSIONS:

It is possible that degenerate changes in sacrococcygeal discs and/or intercoccygeal discs are associated with pain. Surgical results are better in those with a severe degree of degenerative change. Coccygectomy remains a successful treatment for a majority of severely disabled patients with coccydynia.

[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for Wolters Kluwer
    Loading ...
    Support Center