Coccygectomy for refractory coccydynia: A single-center experience
Objectives: The aim of this study was to evaluate the outcomes of coccygectomy for patients with refractory coccydynia as regards the intensity of pain and the satisfaction of the cases. Methods: It is a retrospective study conducted upon 14 patients presented with refractory coccydynia; conservativ...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920300906 |
| _version_ | 1819026161148100608 |
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| author | Ahmed Y. Soliman Bassem F. Abou El-Nagaa |
| author_facet | Ahmed Y. Soliman Bassem F. Abou El-Nagaa |
| author_sort | Ahmed Y. Soliman |
| collection | DOAJ |
| description | Objectives: The aim of this study was to evaluate the outcomes of coccygectomy for patients with refractory coccydynia as regards the intensity of pain and the satisfaction of the cases. Methods: It is a retrospective study conducted upon 14 patients presented with refractory coccydynia; conservative treatment failure for a period of at least 6 months before surgery from 2016 to 2019. The follow up of the cases was for at least 6 months after surgery. Results: From 14 cases, 13 cases were female (92.86%) and one male (7.14%): 9 cases (64.29%) were traumatic and 5 cases (35.71%) were idiopathic. Visual analogue scale (VAS) was significantly decreased at 1, 3 and 6 months postoperatively and at the end of the study compared to preoperative VAS. Complete subsidence of preoperative pain (VAS = 0) was noted in 6 cases (35.71%), improvement was in 7 cases (50%) (VAS < 4) and VAS decreased from 8 to 6 in only one case (7.14%). Absolute satisfaction was noted in 85.72% of total cases, 7.14% was satisfied’ and 7.14% was dissatisfied. Regarding postoperative complications; one patient had wound dehiscence and another patient had local wound infection. Conclusions: Coccygectomy is an effective surgical method for relieving pain in patients with refractory coccydynia with minimal complications. |
| first_indexed | 2024-12-21T05:22:10Z |
| format | Article |
| id | doaj.art-ac3bc8945cc54b08baf9dbdd43e0f17c |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-21T05:22:10Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-ac3bc8945cc54b08baf9dbdd43e0f17c2022-12-21T19:14:47ZengElsevierInterdisciplinary Neurosurgery2214-75192020-09-0121100735Coccygectomy for refractory coccydynia: A single-center experienceAhmed Y. Soliman0Bassem F. Abou El-Nagaa1Corresponding author at: Associate Professor of Neurosurgery, Neurosurgery Department, Faculty of Medicine, Tanta University, 31527, Egypt.; Department of Neurosurgery, Faculty of Medicine, Tanta University, EgyptDepartment of Neurosurgery, Faculty of Medicine, Tanta University, EgyptObjectives: The aim of this study was to evaluate the outcomes of coccygectomy for patients with refractory coccydynia as regards the intensity of pain and the satisfaction of the cases. Methods: It is a retrospective study conducted upon 14 patients presented with refractory coccydynia; conservative treatment failure for a period of at least 6 months before surgery from 2016 to 2019. The follow up of the cases was for at least 6 months after surgery. Results: From 14 cases, 13 cases were female (92.86%) and one male (7.14%): 9 cases (64.29%) were traumatic and 5 cases (35.71%) were idiopathic. Visual analogue scale (VAS) was significantly decreased at 1, 3 and 6 months postoperatively and at the end of the study compared to preoperative VAS. Complete subsidence of preoperative pain (VAS = 0) was noted in 6 cases (35.71%), improvement was in 7 cases (50%) (VAS < 4) and VAS decreased from 8 to 6 in only one case (7.14%). Absolute satisfaction was noted in 85.72% of total cases, 7.14% was satisfied’ and 7.14% was dissatisfied. Regarding postoperative complications; one patient had wound dehiscence and another patient had local wound infection. Conclusions: Coccygectomy is an effective surgical method for relieving pain in patients with refractory coccydynia with minimal complications.http://www.sciencedirect.com/science/article/pii/S2214751920300906CoccygodyniaCoccyxCoccygectomyRefractoryPain |
| spellingShingle | Ahmed Y. Soliman Bassem F. Abou El-Nagaa Coccygectomy for refractory coccydynia: A single-center experience Interdisciplinary Neurosurgery Coccygodynia Coccyx Coccygectomy Refractory Pain |
| title | Coccygectomy for refractory coccydynia: A single-center experience |
| title_full | Coccygectomy for refractory coccydynia: A single-center experience |
| title_fullStr | Coccygectomy for refractory coccydynia: A single-center experience |
| title_full_unstemmed | Coccygectomy for refractory coccydynia: A single-center experience |
| title_short | Coccygectomy for refractory coccydynia: A single-center experience |
| title_sort | coccygectomy for refractory coccydynia a single center experience |
| topic | Coccygodynia Coccyx Coccygectomy Refractory Pain |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920300906 |
| work_keys_str_mv | AT ahmedysoliman coccygectomyforrefractorycoccydyniaasinglecenterexperience AT bassemfabouelnagaa coccygectomyforrefractorycoccydyniaasinglecenterexperience |