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Posttraumatic coccygeal instability.

Elyazid Mouhsine1, Raffaele Garofalo, François Chevalley

  • 1Orthopaedics and Trauma Department, University Hospital, 1011 Lausanne, Switzerland. Elyazid.mouhsine@hospvd.ch

The Spine Journal : Official Journal of the North American Spine Society
|August 29, 2006
PubMed
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Partial coccygectomy offers good outcomes for chronic coccygodynia (tailbone pain) resulting from trauma. Most patients experienced significant improvement within months, with lasting benefits observed over years.

Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Radiology

Background:

  • Chronic coccygodynia, or tailbone pain, significantly impacts quality of life.
  • Post-traumatic coccygodynia with instability is a recognized clinical entity.
  • Conservative treatments often fail to resolve persistent coccygodynia.

Purpose of the Study:

  • To evaluate the mid-term results of partial coccygectomy for chronic coccygodynia.
  • To assess the efficacy of surgical intervention for tailbone pain.
  • To report outcomes in a consecutive series of patients undergoing the procedure.

Main Methods:

  • Fifteen patients with chronic coccygodynia were included.
  • Diagnosis involved dynamic lateral radiography and magnetic resonance imaging (MRI).

Related Experiment Videos

  • Partial coccygectomy was performed after conservative treatment failure for post-traumatic coccygodynia with instability.

    • Main Results:

    • At a mean follow-up of 2.8 years, 11 patients had excellent, 3 good, and 1 fair outcome.
    • Mean time to improvement was 15 weeks post-surgery.
    • No further improvement was noted after 6 months, indicating sustained results.

    Conclusions:

    • Partial coccygectomy is an effective treatment for post-traumatic coccygodynia.
    • Dynamic radiography aids in distinguishing traumatic from idiopathic coccygodynia.
    • MRI can be valuable for further patient evaluation when dynamic radiography is inconclusive.