Coccygectomy can be a option for coccydynia which is refractory to medical treatment

Authors

  • Md. Anowarul Islam
  • Santosh Batajoo Spine unit, Department of Orthopaedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Md. Sayeed Al Mahmud Spine unit, Department of Orthopaedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh
  • Manish Shrestha Spine unit, Department of Orthopaedic Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bsmmuj.v11i4.38617

Abstract

The aim of this study was to evaluate the clinical outcome of coccygectomy those who were refractory to conservative treatment. Twenty patients (5 males, 15 females) underwent total coccygectomy when coccygodynia did not responding to medical treatment July 2013 to September 2018. All the patients timely attended with non-traumatic (n = 12) and traumatic (n = 8) cause with mean follow-up visits of 24 months (range 18-28 months). The outcome pain intensity was evaluated by visual analogue scale (VAS) in sitting position and during daily activities. Three patients had infection which improved after antibiotic therapy. The VAS improved from 6.4 ± 0.9 to 2.1 ± 0.9 for sitting and from 5.8 ± 0.9 to 1.6 ± 0.6 for daily activities. Improvement in pain and daily activities were significant at the final follow-up. Ninety percent patients were satisfied with the operation.

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Published

2018-12-25

How to Cite

Islam, M. A., Batajoo, S., Mahmud, M. S. A., & Shrestha, M. (2018). Coccygectomy can be a option for coccydynia which is refractory to medical treatment. Bangabandhu Sheikh Mujib Medical University Journal, 11(4), 282–285. https://doi.org/10.3329/bsmmuj.v11i4.38617

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Section

Original Articles