Coccygectomy for coccygodynia: do we really have to wait?
| Autor: | Kerem Basarir, Kamil Cagri Kose, Dervis Guner, Oguz Cebesoy, A.K. Us, B. Guclu |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Coccyx Coccygectomy Fractures Bone Patient satisfaction medicine Humans Complication rate Antibiotic prophylaxis General Environmental Science Antibacterial agent Vas score Pain Postoperative business.industry Surgery medicine.anatomical_structure Treatment Outcome Patient Satisfaction General Earth and Planetary Sciences Surgical excision Female business Low Back Pain |
| Zdroj: | Injury. 38(10) |
| ISSN: | 0020-1383 |
| Popis: | Summary Aim To determine the results of 21 cases of persistent coccygodynia unresponsive to conservative management and treated with coccygectomy. Methods Of 81 patients with coccygodynia, 21 underwent surgical excision of the coccyx with a minimum 5 days of antibiotic prophylaxis. All 21 patients were followed for at least 2 years and questioned about their satisfaction with the operation and its timing. Pain levels were recorded preoperatively and during the postoperative period using the VAS scale. Results The mean VAS score was 51.88 (40–70), and this decreased to 3.17, 2.94 and 2.76 in the 6th, 12th and 24th months, respectively. This change was statistically significant. Of the 21 cases, 17 had an excellent result and 4 had a good result. None had a wound healing problem or infection. All were satisfied with the operation, and all stated that they would have liked to have undergone it sooner. Conclusion For unstable coccygeal fracture and persistent coccygodynia, coccygectomy is a reliable method of treatment with a high satisfaction and a low complication rate. |
| Databáze: | OpenAIRE |
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