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[Coccygectomy for coccygodynia]
1Ortopedisk seksjon Fylkessjukehuset, Haugesund.
Summary
Coccygectomy for coccygodynia (tailbone pain) showed mixed long-term results. While most patients experienced symptom relief and satisfaction, a notable portion regretted the surgery, highlighting the need for careful patient selection.
Area of Science:
- Orthopedics
- Pain Management
- Surgical Outcomes
Background:
- Coccygodynia (tailbone pain) treatment is often conservative.
- Surgical intervention (coccygectomy) for coccygodynia remains controversial with unclear outcomes.
Purpose of the Study:
- To evaluate the long-term results and patient satisfaction following coccygectomy for coccygodynia.
- To assess the efficacy and patient-reported outcomes of surgical tailbone pain treatment.
Main Methods:
- A retrospective follow-up study of 26 patients who underwent coccygectomy.
- Data collected via patient records and questionnaires, with 25 patients responding.
Main Results:
- 20 out of 25 patients reported complete symptom relief or improvement.
- Three patients experienced symptom aggravation.
- 18 patients were satisfied with the long-term outcome, while five regretted the procedure.
Conclusions:
- Coccygectomy can provide significant long-term symptom relief for many patients with coccygodynia.
- Careful patient selection and comprehensive preoperative information are crucial for successful surgical outcomes.
- The controversial nature of coccygectomy necessitates a balanced consideration of potential benefits and risks.