Coccygectomy Effects in Patients With Resistant Coccydynia in Ahvaz Hospitals From 2010 to 2014

Abstract

Background: The majority of the cases of coccydynia occur in conjunction with either subluxated or hypermobile coccyx, and it has been proposed that this pathologic instability may cause chronic inflammatory changes. Objectives: This study was done to evaluate the effect of coccygectomy in patients with resistant coccydynia after initial conservative therapy failure. Patients and Methods: Between October 2010 and December 2013, 13 patients with coccydynia underwent coccygectomy in the hospitals of Ahvaz city after a failed conservative therapy for at least 4 - 6 months. In order to evaluate the results, a questionnaire was obtained, including the extent of relief in the painful area, improvement in quality of life, intensity of pain in the sitting position, pain during daily activities, and the need for analgesics, according to the criteria described by Bayne. Results: The patients were followed up for an average of 25.7 months. The results were good in 11 patients, excellent in 1, and fair in only 1 patient. The excellent and good rates amounted to 92.2%. No major complication was seen. Conclusions: Coccygectomy is a successful treatment in patients unresponsive to conservative treatments for coccydynia.