Coccygectomy for the treatment of therapy-resistant coccygodynia.
J Surg Orthop Adv
; 18(3): 147-9, 2009.
Article
em En
| MEDLINE
| ID: mdl-19843440
ABSTRACT
Coccygodynia (pain in the region of the coccyx) has many causes, but it may be posttraumatic beginning after a fracture or contusion. Pain is typically triggered by or occurs while sitting. Nonsurgical management, including cushions, nonsteroidal anti-inflammatory drugs, and corticosteroid injections, can be successful in up to 85% of patients. The objective of the study was to show that coccygectomy can be a successful surgical treatment for patients who fail nonoperative treatment. This study is a retrospective analysis of all patients who underwent a coccygectomy performed by one surgeon between the years 2002 and 2008. All patients were asked to complete an Oswestry low back pain disability questionnaire and a visual analog pain scale. The average Oswestry disability score was 25.75%. The average visual analog score was 3.4 cm. Four patients sustained a wound breakdown. The study concluded that for patients with conservative therapy-resistant coccygodynia, operative treatment with coccygectomy is a feasible management option.
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Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Dor Lombar
/
Cóccix
/
Procedimentos Ortopédicos
/
Avaliação da Deficiência
Tipo de estudo:
Observational_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Surg Orthop Adv
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos