Coccygectomy as a Surgical Option in the Treatment of Chronic Traumatic Coccygodynia

Article information

Asian Spine J. 2015;9(3):492-492

Publication date (electronic) : 2015 June 08

doi : https://doi.org/10.4184/asj.2015.9.3.492

Omer Ersen ¹, Safak Ekinci ², Kenan Koca ³, Faruk Akyildiz ⁴, Serkan Bilgic ⁵

¹Department of Orthopaedic Surgery, Erzurum Military Hospital, Erzurum, Turkey.

²Department of Orthopaedic Surgery, Agri Military Hospital, Agri, Turkey.

³Department of Orthopaedic Surgery, Gulhane Military Hospital, Ankara, Turkey.

⁴Department of Orthopaedic Surgery, Malatya Military Hospital, Malatya, Turkey.

⁵Department of Orthopaedic Surgery, Haydarpasa Gulhane Military Hospital, Istanbul, Turkey.

Corresponding author: Safak Ekinci. Department of Orthopaedic Surgery, Agri Military Hospital, Agri, Turkey. Tel: +90-5327339850, Fax: +90-472-215-27-47, safakekinci@yahoo.com

Received 2015 January 09; Accepted 2015 January 09.

Dear editor,

We recently read the interesting article entitled "Coccygectomy as a surgical option in the treatment of chronic traumatic coccygodynia: a single-center experience and literature review" by Antoniadis et al. [1] which touches on an underrated topic in neurosurgical practice.

Periosteal preservation and closure during the coccygectomy procedure have been found to be related to a low risk of infection [2]. Although Antoniadis et al. did not mention this in their case series, the information should be presented in a literature review.

Additionally, some other treatment options, such as caudal epidural pulsed radiofrequency treatment, have been found to be efficient after unsuccessful non-surgical and surgical treatment modalities in the treatment of coccygodynia and should also be mentioned in the article. Atim et al. [3] achieved excellent and good results in 81% of cases treated with caudal epidural pulsed radiofrequency.

We expect that these small additions will increase the value of Antoniadis' article.

Notes

Conflict of Interest: No potential conflict of interest relevant to this article was reported.

References

1. Antoniadis A, Ulrich NH, Senyurt H. Coccygectomy as a surgical option in the treatment of chronic traumatic coccygodynia: a single-center experience and literature review. Asian Spine J 2014;8:705–710. 25558311.

2. Bilgic S, Kurklu M, Yurttas Y, Ozkan H, Oguz E, Sehirlioglu A. Coccygectomy with or without periosteal resection. Int Orthop 2010;34:537–541. 19471931.

3. Atim A, Ergin A, Bilgic S, Deniz S, Kurt E. Pulsed radiofrequency in the treatment of coccygodynia. Agri 2011;23:1–6. 21341145.

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