The influence of etiology on the results of coccygectomy.

Clinical orthopaedics and Related Research

1984 Nov; 190: 266-272

Bayne O, Bateman JE, Cameron HU

Link to abstract of paper

Summary by Jon Miles

This paper is particularly interesting as it is the only one that gives full details of the causes of coccydynia in each case, together with the associated medical history, the pathology report, complications of surgery and outcome in relieving pain. Other papers give summaries of complications of surgery and outcome, but not in the same detail as in this paper.

I have summarised the causes of the pain found in the 48 patients studied here in the table below. Note that two of them were caused by motor vehicle accidents, a possibility that is sometimes disputed by insurance companies.

You can also see a more detailed summary of the outcome of surgery, covering the findings of a number of medical papers.

Known cause Fall 21
Spinal fusion 7
Childbirth 4
Kicked 2
Motor vehicle accident 2
Unknown cause, associated history Anal intercourse 4
Pilonidal disease 3
No associated history 3
Spinal surgery 1
Cancer of rectum 4 years before 1

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