Imaging study of adult coccygeal morphology using direct digital radiography technology in China

Abstract Extensive studies on the morphological characteristics of the coccyx, using CT or MRI techniques, have been conducted in some European and Asian countries. However, research on coccyx morphology in China remains scarce. A total of 300 subjects, who underwent sacrococcygeal digital radiologi...

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Main Authors: Yingsen Pan, Feipeng Qin, Yi Shen, Ndalyolusha Tileinge Hapulile, Haoyang Zhang, Xin Ye, Shuailin Li, Xiaoming Li, Chao Yang, Xiang Zhou, Xiaoming Ying
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-88336-2
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author Yingsen Pan
Feipeng Qin
Yi Shen
Ndalyolusha Tileinge Hapulile
Haoyang Zhang
Xin Ye
Shuailin Li
Xiaoming Li
Chao Yang
Xiang Zhou
Xiaoming Ying
author_facet Yingsen Pan
Feipeng Qin
Yi Shen
Ndalyolusha Tileinge Hapulile
Haoyang Zhang
Xin Ye
Shuailin Li
Xiaoming Li
Chao Yang
Xiang Zhou
Xiaoming Ying
author_sort Yingsen Pan
collection DOAJ
description Abstract Extensive studies on the morphological characteristics of the coccyx, using CT or MRI techniques, have been conducted in some European and Asian countries. However, research on coccyx morphology in China remains scarce. A total of 300 subjects, who underwent sacrococcygeal digital radiological scans at the third affiliated hospital of Zhejiang Chinese Medical University between January 2022 and December 2023, were analyzed in this retrospective study. Modified coccyx morphology classification was applied. Imaging focused on the type of coccyx and the number of coccygeal segments. The subjects exhibited coccyx type III (33.3%), type II (32.7%), type I (16.7%), type IV (16%), type V (0.3%), and type VI (1%). 32 males with coccygeal type II; 76 females with coccygeal type III. Significant differences in coccyx morphology were observed between male and female (p < 0.05). Coccygeal morphology showed correlations with age (p = 0.009), body weight (p = 0.01), and BMI (p = 0.039). Among Chinese adults, type III coccyx is the most common, and the 3-segment configuration is the most prevalent. Coccyx types differ by gender, coccyx morphology is correlated with age, weight, and BMI. Our study lays the foundation for future clinical applications of these findings.
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institution Kabale University
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publishDate 2025-02-01
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spelling doaj-art-931672947b4d4acba8e58d1afb2c3c4d2025-02-09T12:31:01ZengNature PortfolioScientific Reports2045-23222025-02-011511710.1038/s41598-025-88336-2Imaging study of adult coccygeal morphology using direct digital radiography technology in ChinaYingsen Pan0Feipeng Qin1Yi Shen2Ndalyolusha Tileinge Hapulile3Haoyang Zhang4Xin Ye5Shuailin Li6Xiaoming Li7Chao Yang8Xiang Zhou9Xiaoming Ying10The 3rd Clinical Medical College of Zhejiang, Chinese Medical UniversityThe 3rd Clinical Medical College of Zhejiang, Chinese Medical UniversityThe 3rd Clinical Medical College of Zhejiang, Chinese Medical UniversityZhejiang Chinese Medical UniversityTuina Department, Hangzhou Traditional Chinese Medicine HospitalTuina Department, the 3rd Affiliated Hospital of Zhejiang Chinese Medical UniversityTuina Department, the 3rd Affiliated Hospital of Zhejiang Chinese Medical UniversityTuina Department, the 3rd Affiliated Hospital of Zhejiang Chinese Medical UniversityTuina Department, the 3rd Affiliated Hospital of Zhejiang Chinese Medical UniversityTuina Department, Hangzhou Traditional Chinese Medicine HospitalTuina Department, the 3rd Affiliated Hospital of Zhejiang Chinese Medical UniversityAbstract Extensive studies on the morphological characteristics of the coccyx, using CT or MRI techniques, have been conducted in some European and Asian countries. However, research on coccyx morphology in China remains scarce. A total of 300 subjects, who underwent sacrococcygeal digital radiological scans at the third affiliated hospital of Zhejiang Chinese Medical University between January 2022 and December 2023, were analyzed in this retrospective study. Modified coccyx morphology classification was applied. Imaging focused on the type of coccyx and the number of coccygeal segments. The subjects exhibited coccyx type III (33.3%), type II (32.7%), type I (16.7%), type IV (16%), type V (0.3%), and type VI (1%). 32 males with coccygeal type II; 76 females with coccygeal type III. Significant differences in coccyx morphology were observed between male and female (p < 0.05). Coccygeal morphology showed correlations with age (p = 0.009), body weight (p = 0.01), and BMI (p = 0.039). Among Chinese adults, type III coccyx is the most common, and the 3-segment configuration is the most prevalent. Coccyx types differ by gender, coccyx morphology is correlated with age, weight, and BMI. Our study lays the foundation for future clinical applications of these findings.https://doi.org/10.1038/s41598-025-88336-2Coccyx morphologyDigital radiographyCoccygeal segmentsGender differencesChinese Population
spellingShingle Yingsen Pan
Feipeng Qin
Yi Shen
Ndalyolusha Tileinge Hapulile
Haoyang Zhang
Xin Ye
Shuailin Li
Xiaoming Li
Chao Yang
Xiang Zhou
Xiaoming Ying
Imaging study of adult coccygeal morphology using direct digital radiography technology in China
Scientific Reports
Coccyx morphology
Digital radiography
Coccygeal segments
Gender differences
Chinese Population
title Imaging study of adult coccygeal morphology using direct digital radiography technology in China
title_full Imaging study of adult coccygeal morphology using direct digital radiography technology in China
title_fullStr Imaging study of adult coccygeal morphology using direct digital radiography technology in China
title_full_unstemmed Imaging study of adult coccygeal morphology using direct digital radiography technology in China
title_short Imaging study of adult coccygeal morphology using direct digital radiography technology in China
title_sort imaging study of adult coccygeal morphology using direct digital radiography technology in china
topic Coccyx morphology
Digital radiography
Coccygeal segments
Gender differences
Chinese Population
url https://doi.org/10.1038/s41598-025-88336-2
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