Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia
Background: Coccygodynia presents significant challenges in diagnosis and treatment. While coccygectomy has emerged as a crucial intervention for refractory cases, significant heterogeneity exists in surgical techniques. Traditional approaches are increasingly complemented by novel methods, necessit...
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MDPI AG
2025-02-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/15/2/213 |
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| author | Barnabas Obeng-Gyasi Ethan D. L. Brown Anoop Sai Chinthala Gordon Mao |
| author_facet | Barnabas Obeng-Gyasi Ethan D. L. Brown Anoop Sai Chinthala Gordon Mao |
| author_sort | Barnabas Obeng-Gyasi |
| collection | DOAJ |
| description | Background: Coccygodynia presents significant challenges in diagnosis and treatment. While coccygectomy has emerged as a crucial intervention for refractory cases, significant heterogeneity exists in surgical techniques. Traditional approaches are increasingly complemented by novel methods, necessitating a comprehensive review of current surgical options. Methods: A comprehensive literature review was conducted using Ovid MEDLINE, Cochrane Library and Embase databases from inception to present. Search terms included “coccygectomy”, “coccydynia”, “coccygodynia”, “coccyx pain” and “tailbone pain”. We analyzed peer-reviewed studies focusing on surgical techniques, outcomes and complications of coccygectomy. Studies were excluded if non-peer-reviewed, non-English without translation, or not directly addressing surgical management. Results: Traditional midline approaches, while common, demonstrate increased wound complications compared to paramedian techniques. Minimally invasive methods, including coccygeoplasty and endoscopic coccygectomy, show promising early outcomes with reduced recovery times. Both partial and complete resections provide significant pain relief, with complete resection potentially offering superior results in severe cases. Wound closure technique significantly impacts surgical success. Conclusions: Optimal outcomes in coccygectomy require individualized surgical approaches incorporating modern techniques like paramedian incision and advanced wound closure. Emerging minimally invasive procedures may further reduce complications and enhance recovery. Treatment success depends on careful patient selection and surgical technique optimization. |
| format | Article |
| id | doaj-art-276a0ba780dd4a09861f9d7891178dee |
| institution | DOAJ |
| issn | 2076-3425 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj-art-276a0ba780dd4a09861f9d7891178dee2025-08-20T03:11:20ZengMDPI AGBrain Sciences2076-34252025-02-0115221310.3390/brainsci15020213Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for CoccygodyniaBarnabas Obeng-Gyasi0Ethan D. L. Brown1Anoop Sai Chinthala2Gordon Mao3Department of Neurological Surgery, Indiana University School of Medicine, 355 W. 16th Street, Goodman Hall Suite 5100, Indianapolis, IN 46202, USADepartment of Neurological Surgery, Donald and Barbara Zucker School of Medicine, 500 Hofstra Blvd, Hempstead, NY 11549, USADepartment of Neurological Surgery, Indiana University School of Medicine, 355 W. 16th Street, Goodman Hall Suite 5100, Indianapolis, IN 46202, USADepartment of Neurological Surgery, Indiana University School of Medicine, 355 W. 16th Street, Goodman Hall Suite 5100, Indianapolis, IN 46202, USABackground: Coccygodynia presents significant challenges in diagnosis and treatment. While coccygectomy has emerged as a crucial intervention for refractory cases, significant heterogeneity exists in surgical techniques. Traditional approaches are increasingly complemented by novel methods, necessitating a comprehensive review of current surgical options. Methods: A comprehensive literature review was conducted using Ovid MEDLINE, Cochrane Library and Embase databases from inception to present. Search terms included “coccygectomy”, “coccydynia”, “coccygodynia”, “coccyx pain” and “tailbone pain”. We analyzed peer-reviewed studies focusing on surgical techniques, outcomes and complications of coccygectomy. Studies were excluded if non-peer-reviewed, non-English without translation, or not directly addressing surgical management. Results: Traditional midline approaches, while common, demonstrate increased wound complications compared to paramedian techniques. Minimally invasive methods, including coccygeoplasty and endoscopic coccygectomy, show promising early outcomes with reduced recovery times. Both partial and complete resections provide significant pain relief, with complete resection potentially offering superior results in severe cases. Wound closure technique significantly impacts surgical success. Conclusions: Optimal outcomes in coccygectomy require individualized surgical approaches incorporating modern techniques like paramedian incision and advanced wound closure. Emerging minimally invasive procedures may further reduce complications and enhance recovery. Treatment success depends on careful patient selection and surgical technique optimization.https://www.mdpi.com/2076-3425/15/2/213coccygectomycoccygodyniaminimally invasive techniquespain managementsurgical approaches |
| spellingShingle | Barnabas Obeng-Gyasi Ethan D. L. Brown Anoop Sai Chinthala Gordon Mao Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia Brain Sciences coccygectomy coccygodynia minimally invasive techniques pain management surgical approaches |
| title | Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia |
| title_full | Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia |
| title_fullStr | Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia |
| title_full_unstemmed | Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia |
| title_short | Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia |
| title_sort | advances in coccygectomy a comprehensive review evaluating surgical techniques for coccygodynia |
| topic | coccygectomy coccygodynia minimally invasive techniques pain management surgical approaches |
| url | https://www.mdpi.com/2076-3425/15/2/213 |
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