• Waleed Mohammad Awwad, Munir Saadeddin, Jbreel Nasser Alsager, and Fahad Mohammad AlRashed.
• Orthopedic Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
• Eur J Orthop Surg Tr. 2017 Oct 1; 27 (7): 961-965.

BackgroundCoccygodynia is a pain of the coccyx that is typically exaggerated by pressure. Management includes anti-inflammatory medications, physiotherapy, and coccyx manipulation. Coccygectomy is the surgical approach for treating coccygodynia when the conservative management fails. Generally, coccygectomy yields good results. Its most common complication is wound infection.ObjectiveTo determine the effectiveness of coccygectomy in patients with coccygodynia.MethodsA retrospective review of 70 patients (52 females and 18 males) with coccygodynia at King Khalid University Hospital in Riyadh was carried out, and the outcomes were studied. Twenty patients did not respond to conservative management; therefore, bimanual coccyx manipulation was done. Eleven were identified with instability and did not respond to coccygeal manipulation. Coccygectomy was performed on 8 patients while 3 declined.ResultsAll patients who underwent coccygectomy showed improvement of their symptoms. One case of superficial wound infection and delayed wound healing was encountered.ConclusionCoccygectomy provides effective pain relief to patients not responding to conservative therapies.

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