HOME

OUR DOCTORS

ORTHOPEDIC SERVICES

COMMON CONDITIONS

 
 
 

BACK PAIN CONDITIONS

 

Ankylosing Spondylitis

Cauda Equina Syndrome

Cervical Herniated Disc

Cervical Spinal Stenosis

Cervical Stenosis with Myelopathy

Coccydynia

Degenerative Disc Disease

Fibromyalgia
Low Back Pain Causes

Lumbar Herniated Disc

Lumbar Spinal Stenosis

Myofascial Pain/Muscle Irritation

Osteoarthritis

Pirformis Syndrome

Sacral Fracture

Sacroiliac Joint Dysfunction

Sciatica

Spinal Fracture

Spinal Tumors

Spondylolithesis
Upper Back Pain Causes

Whiplash

INJECTIONS FOR BACK PAIN

 

Atlanto-Occipital Joint Injections

Cervical Steroid Injections

Discogram/Discography
Epidural Steroid Injections
Facet Joint Injections
Facet Joint Injection FAQ

Hip Joint Injections
Lumbar Steroid Injections
Medial Branch Block
Medial Branch Block FAQ
Radiofrequency Neurotomy

Sacroiliac Joint Injections
Selective Nerve Root Block (SNRB)
Steroid Injection FAQ

SURGICAL PROCEDURES

 

Cervical Spinal Fusion
Coccygectomy
Discectomy

Electrothermal Decompression

Facet Rhizotomy

Fusion Surgery Recovery
Intradiscal Electrothermal Annuloplasty
Lumbar Spinal Fusion
Spinal Disc Replacement

ANATOMY OF THE BACK

 

Cervical Anatomy (Neck)
Thoracic Anatomy (Mid Back)
Lumbar Anatomy (Low Back)
Sacrum Anatomy (Tailbone)

PATIENT RESOURCES

 

Chronic Back Pain
Back Pain Relief
Back Pain Treatment
Before Your Surgery

After Spine Surgery

Back Surgery Questions

Back Pain Definitions
Back Pain Medications
Back Pain Myths

Depression and Chronic Back Pain

Obesity and Back Pain

Orthopedic Surgeons

Contact Us

 


 Coccygectomy Surgery for Pain

For people who have persistent pain that is not alleviated or well-controlled with non-surgical treatment and activity modification, surgical removal of all or a portion of the coccyx (coccygectomy) is an option.

This surgery is rarely performed, and the procedure is not even included in most spine surgery textbooks. While the surgery itself is a relatively straight-forward operation, recovery from the surgery is a long and uncomfortable process for the patient.

 

Surgical Approach for Coccyx Pain
 
 Every orthopedic surgeon may take a slightly different approach to this operation. Perhaps the biggest difference between surgeons is that some remove only part of the coccyx, while others recommend removing the entire coccyx.
 
 In general, the surgery involves the following steps:
 
             1. A one to two-inch incision is made right over the top of the coccyx, which is located directly under the skin
                 and subcutaneous fat tissue. There are no muscles to dissect away.

             2. The covering over the bone (the periosteum) is then dissected away from the bone starting on the back and
                 carried around the front. Staying in this plane of tissue is very safe, and allows the coccyx to be dissected
                 free and then separated from the sacrum.
 

             3. The coccyx is then removed. It may be biopsied to determine whether or not it contains a tumor.
 
 The operation takes about thirty minutes to perform and can be done on an outpatient basis. The most difficult part of the operation is that it takes a long time for the patient to heal. Generally, it takes three months to a year after the surgery before patients see any relief from their symptoms, and of course sitting is very difficult throughout the healing process.
 
 Coccyx Surgery Success Rates
 
 The reliability of the operation is largely dependent on two main factors:
 
           1.  Pre-operative patient selection

           2.  Experience of the surgeon, with an experienced surgeon operating on patients who are good candidates for
                the surgery.
 
 If both of the above criteria are met, then an 80% to 90% success rate can be expected.  Although there has been little literature devoted to coccygectomy, in 1985 Wray et. al. reported in the British Journal of Bone and Joint Surgery that they had a 90% success rate for the procedure in 20 patients.
 
 Potential Risks and Complications of Coccyx Surgery
 
 The main risk with this surgery involves the surgeon accidentally moving out of the sub-periosteal plane around the bone during dissection. The rectum lies right in front of the coccyx, and if this is violated a severe infection could result. While it is unlikely, it is possible that if this were to happen, a diverting colostomy would be necessary to allow the rectum to heal.
 
 Other potential risks include wound healing difficulties and/or local infection. Unlike most other spine surgeries, there are no significant nerve roots in the region that would be at risk.
 
 Perhaps the biggest risk is continued pain in the coccyx post-operatively, meaning that the patient has to endure the long healing process and still has not had improvement in the symptoms.

 

 

 

 

 

     

Privacy Policies     l     Disclaimer

Copyright 2011, All Rights Reserved.