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CC BY 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0044-1800790
Original Article

Coccygectomy: Therapeutic Results of 12 Cases of Posttraumatic Coccygodynia

Louncény Fatoumata Barry
2   Neurosurgery Department, Sino-Guinean Friendship Hospital, Conakry, Guinea
3   Neurosurgery Unit, Ignace Deen University Hospital, Conakry, Guinea
,
Alpha Boubacar Bah
1   Neurosurgery Department, University Hospital Donka, Conakry, Guinea
3   Neurosurgery Unit, Ignace Deen University Hospital, Conakry, Guinea
,
Mohamed Lamine Bah
4   Orthopaedic Traumatology Department, University Hospital Ignace Deen, Conakry, Guinea
,
Arnold Sagbo Kponou
3   Neurosurgery Unit, Ignace Deen University Hospital, Conakry, Guinea
,
Hugues Ghislain Atakla
2   Neurosurgery Department, Sino-Guinean Friendship Hospital, Conakry, Guinea
,
Ansoumane Donzo
1   Neurosurgery Department, University Hospital Donka, Conakry, Guinea
,
Ibrahima Sory Souare Jr
2   Neurosurgery Department, Sino-Guinean Friendship Hospital, Conakry, Guinea
,
Mohamed Cherif
2   Neurosurgery Department, Sino-Guinean Friendship Hospital, Conakry, Guinea
,
Djenaba Bah
1   Neurosurgery Department, University Hospital Donka, Conakry, Guinea
,
Aminata Rouguiatou Diallo
1   Neurosurgery Department, University Hospital Donka, Conakry, Guinea
,
Fode Ibrahima Kourala Keita
4   Orthopaedic Traumatology Department, University Hospital Ignace Deen, Conakry, Guinea
,
Ibrahima Sory Doumbouya
5   Medical Imaging Department, National Social Security Centre, Conakry, Guinea
,
Alpha Youssouf Conde
1   Neurosurgery Department, University Hospital Donka, Conakry, Guinea
,
Souleymane Balde
1   Neurosurgery Department, University Hospital Donka, Conakry, Guinea
,
Luc Kézély Beavogui
1   Neurosurgery Department, University Hospital Donka, Conakry, Guinea
,
Ibrahima Sory Souare
2   Neurosurgery Department, Sino-Guinean Friendship Hospital, Conakry, Guinea
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Abstract

Introduction Coccygodynia is pain localized in the coccygeal region. Symptoms can be relieved after conservative treatment. In refractory cases, surgical treatment gives good clinical results. We report 12 cases of posttraumatic coccygodynia refractory to conservative treatment managed surgically.

Materials and Methods This was a retrospective analysis including the records of all patients operated on in the neurosurgery departments and units of the Conakry University Hospital and the Sino-Guinean Friendship Hospital for posttraumatic coccygodynia refractory to conservative treatment over a 4-year period from January 2019 to December 2022 with a minimum postoperative follow-up of 12 months.

Results Twelve cases were identified over a 4-year period with a mean age of 36 years and a male predominance (7 males/5 females). Coccygodynia was the main complaint and was present in all patients. The mean visual analog scale was 8.7 and the mean body mass index was 24.1. Sacrococcygeal computed tomography scans were performed in all patients. The indication for surgery was given after failure of conservative treatment. Three patients underwent partial resection of the coccyx and nine underwent total resection. All patients underwent postoperative sacrococcygeal radiography. Progress was favorable in 75% of patients. Morbidity included two cases of surgical site infection and zero mortalities.

Conclusion Although the number of cases in this study was small, our positive results in terms of symptom improvement and satisfaction rates suggest that coccygectomy is a relatively safe and effective means of treating traumatic coccygodynia when nonsurgical methods have failed.

Keywords

coccygodynia - coccygectomy - posttraumatic - conservative treatment - Conakry University Hospital

Authors' Contributions

All authors have read and approved the final version of the manuscript. L.F.B., A.B.B., and M.L.B. conceptualized the article. A.S.K., H.G.A., A.D., I.S.S.J., M.C., D.B., A.R.D., F.I.K.K., A.Y.C., S.B. and I.S.S. gathered the data. All the authors revised the article and approved the final draft of the article that was submitted. L.F.B. and I.S.S. provided guidance toward the completion of the article.




Publication History

Article published online:
04 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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