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Coccygectomy for intractable coccygodynia
Zeev Feldbrin1, Menachem Singer, Ori Keynan
1Department of Orthopedics, Wolfson Medical Center, Holon, Israel.
The Israel Medical Association Journal : IMAJ
|March 29, 2005
Summary
Coccygectomy for coccygodynia can yield excellent outcomes, but pre-operative bone scanning is crucial to rule out malignancy. This surgical option is recommended for isolated tailbone pain.
Area of Science:
- Surgical procedures
- Orthopedics
- Pain management
Background:
- Coccygectomy is an infrequently performed surgery due to anatomical risks.
- Surgeons often hesitate due to potential rectal perforation and infection risks.
Purpose of the Study:
- To assess the diagnostic accuracy and clinical outcomes of coccygectomy.
- To provide evidence supporting or refuting the efficacy of coccygectomy.
Main Methods:
- Retrospective review of nine patients (7 female, 2 male) who underwent coccygectomy.
- Patients treated for coccygodynia after conservative treatment failure over five years.
Main Results:
- Excellent outcomes reported in five patients.
- Good outcome in one patient.
- Poor outcomes observed in two patients.
Conclusions:
- Bone scanning is mandatory for coccygodynia patients to exclude malignancy before coccygectomy.
- Coccygectomy is a recommended treatment for isolated coccygodynia.