Détail de la notice
Titre du Document
Operative treatment for coccygodynia
Auteur(s)
WOOD Kirkham B. ; MEHBOD Amir A.
Résumé
Objective: Few data exist comparing the surgical and nonsurgical treatment of coccygodynia. We sought to retrospectively review our experience with coccygectomy compared with injections for the relief of coccygodynia to determine rates of success and patient satisfaction and identify complications. Methods: From March 1993 to January 2002, 51 consecutive patients with the diagnosis of coccygodynia were evaluated. All of the patients complained of pain while sitting and had localized pain to external and internal palpation of the coccyx on physical examination. Nonoperative treatment (medications, cushions, therapy) had failed to relieve the patients' symptoms. All patients were seen in follow-up for physical examination and completed a questionnaire by an independent examiner. Follow-up of the patients was 26 months (range 12-59 months). Follow-up data were available on 45 of the 51 enrolled. The patients were divided as follows: 20 patients were treated with total coccygectomy and 25 patients were treated with injection therapy. Results: Of those treated operatively, 18 patients (90%) felt improved and were satisfied with the procedure. Two patients felt their symptoms to be unchanged and were dissatisfied. Postoperative complications included seven wound problems: four superficial infections and three patients with persistent drainage. All resolved with local wound care and oral antibiotics. No further surgery was necessary. There were no bowel injuries and no reports of sp
Editeur
Lippincott Williams and Wilkins
Identifiant
PMID : 15570123 ISSN : 1536-0652
Source
Journal of spinal disorders & techniques A. 2004, vol. 17, n° 6, pp. 511-515 [5 pages]
Langue
Anglais
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