Skip to main content
Erschienen in: International Orthopaedics 3/2004

01.06.2004 | Original Paper

Coccygectomy for instability of the coccyx

verfasst von: Levon Doursounian, Jean-Yves Maigne, Florent Faure, Gilles Chatellier

Erschienen in: International Orthopaedics | Ausgabe 3/2004

Einloggen, um Zugang zu erhalten

Abstract

Between 1993 and 2000, 61 patients with instability-related coccygodynia were operated on by a single surgeon using the same technique. There were 49 women and 12 men, mean age 45.3 (18–72) years. Twenty-seven patients had hypermobility of the coccyx and 33 subluxation. In all cases, the unstable portion was removed through a limited incision directly over the coccyx. The outcome was assessed using a detailed questionnaire. Follow-up was between 12 months and more than 30 months. The outcome was rated excellent or good in 53 patients, fair in one, and poor in seven. There were nine patients with infection requiring reoperation.
Literatur
1.
Zurück zum Zitat Bayne O, Bateman JE, Cameron HU (1984) The influence of etiology on the results of coccygectomy. Clin Orthop 190:266–272PubMed Bayne O, Bateman JE, Cameron HU (1984) The influence of etiology on the results of coccygectomy. Clin Orthop 190:266–272PubMed
2.
Zurück zum Zitat Gardner RC (1972) An improved technic of coccygectomy. Clin Orthop 85:143–145PubMed Gardner RC (1972) An improved technic of coccygectomy. Clin Orthop 85:143–145PubMed
3.
Zurück zum Zitat Garner JS (1999) CDC guideline for prevention of surgical wound infections, 1985. Supersedes guideline for prevention of surgical wound infections published in 1982. (Originally published in 1995). Revised. Infect Control 7:193–200, 1986. In: Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection (1999) Am J Infect Control 27:97–132 Garner JS (1999) CDC guideline for prevention of surgical wound infections, 1985. Supersedes guideline for prevention of surgical wound infections published in 1982. (Originally published in 1995). Revised. Infect Control 7:193–200, 1986. In: Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection (1999) Am J Infect Control 27:97–132
4.
Zurück zum Zitat Hellberg S, Strange-Vognsen HH (1990) Coccygodynia treated by resection of the coccyx. Acta Orthop Scand 61:463–465PubMed Hellberg S, Strange-Vognsen HH (1990) Coccygodynia treated by resection of the coccyx. Acta Orthop Scand 61:463–465PubMed
5.
Zurück zum Zitat Key A (1937) Operative treatment of coccygodynia. J Bone Joint Surg 19:759–764 Key A (1937) Operative treatment of coccygodynia. J Bone Joint Surg 19:759–764
6.
Zurück zum Zitat Maigne JY, Tamalet B (1996) Standardized radiologic protocol for the study of common coccygodynia and characteristics of the lesions observed in the sitting position. Clinical elements differentiating luxation, hypermobility, and normal mobility. Spine 21:2588–2593CrossRefPubMed Maigne JY, Tamalet B (1996) Standardized radiologic protocol for the study of common coccygodynia and characteristics of the lesions observed in the sitting position. Clinical elements differentiating luxation, hypermobility, and normal mobility. Spine 21:2588–2593CrossRefPubMed
7.
Zurück zum Zitat Maigne JY, Guedj S, Straus C (1994) Idiopathic coccygodynia. Lateral roentgenograms in the sitting position and coccygeal discography. Spine 19:930–934PubMed Maigne JY, Guedj S, Straus C (1994) Idiopathic coccygodynia. Lateral roentgenograms in the sitting position and coccygeal discography. Spine 19:930–934PubMed
8.
Zurück zum Zitat Maigne JY, Lagauche D, Doursounian L (2000) Instability of the coccyx in coccydynia. J Bone Joint Surg [Br] 82:1038–1041 Maigne JY, Lagauche D, Doursounian L (2000) Instability of the coccyx in coccydynia. J Bone Joint Surg [Br] 82:1038–1041
9.
Zurück zum Zitat Mangram AJ, Horan TC, Pearson ML, et al (1999) Guideline for prevention of surgical site infection, 1999. Am J Infect Control 27:97–132PubMed Mangram AJ, Horan TC, Pearson ML, et al (1999) Guideline for prevention of surgical site infection, 1999. Am J Infect Control 27:97–132PubMed
10.
Zurück zum Zitat Postacchini F, Massobrio M (1983) Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Joint Surg [Am] 65:1116–1124 Postacchini F, Massobrio M (1983) Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Joint Surg [Am] 65:1116–1124
11.
Zurück zum Zitat Simmons BP (1999) Guideline for prevention of surgical wound infections. Infect Control 3:185–196, 1982. In: Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection (1999). Am J Infect Control 27:97–132PubMed Simmons BP (1999) Guideline for prevention of surgical wound infections. Infect Control 3:185–196, 1982. In: Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection (1999). Am J Infect Control 27:97–132PubMed
12.
Zurück zum Zitat Wray CC, Easom S, Hoskinson J (1991) Coccydynia. Aetiology and treatment. J Bone Joint Surg [Br] 73:335–338 Wray CC, Easom S, Hoskinson J (1991) Coccydynia. Aetiology and treatment. J Bone Joint Surg [Br] 73:335–338
Metadaten
Titel
Coccygectomy for instability of the coccyx
verfasst von
Levon Doursounian
Jean-Yves Maigne
Florent Faure
Gilles Chatellier
Publikationsdatum
01.06.2004
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 3/2004
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-004-0544-3

Weitere Artikel der Ausgabe 3/2004

International Orthopaedics 3/2004 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.