Many studies have reported good or excellent results following coccygectomy surgery, but the procedure is not recommended for all patients. A good response to injection treatments.The presence of a bursa, or a fluid-filled sac at the joint between the sacrum and coccyx.Patients with excessive mobility of the coccyx.Patients whose pain is caused by changes in the shape of the coccyx, such as the presence of a spicule (a small bone spur at the end of the coccyx).Coccydynia: A Review of Pathoanatomy, Aetiology, Treatment, and Outcome. The following criteria have shown an increased chance of positive results after surgery:Ģ Patel R, Appannagari A, Whang PG. Generally, it takes three months to a year after the surgery before patients see any relief from their symptoms, and sitting is difficult throughout the healing process.Ĭoccygectomy tends to be most successful in carefully selected cases. The most difficult part of the operation is the long healing process. The operation takes about thirty minutes to perform and can be done on an outpatient basis. It may receive a biopsy if a tumor is suspected. The protective cartilage over the bone (the periosteum) is dissected from the bone starting on the back and carried around the front.A one to two-inch incision is made over the top of the coccyx, which is located directly under the skin and subcutaneous fat tissue.In general, the surgery involves the following steps: Perhaps the biggest difference between surgeons is that some remove only part of the coccyx, while others recommend removing the entire coccyx. Surgeons may take slightly different approaches to the operation.
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