Türk Nöroşirürji Dergisi 2020 , Vol 30 , Num 3
Coccyx Fractures and Coccygodynia
1Fatih Sultan Mehmet Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, İstanbul, Türkiye
2Nörospinal Akademi, Beyin ve Sinir Cerrahisi Kliniği, İstanbul, Türkiye
Coccydynia usually presents with coccygeal and sacral-perianal pain without low back pain and radicular spread. The diagnosis is generally clinical with the history and physical examination. Most cases have a history of trauma, whereas some are idiopathic. The primary treatment is conservative. When conservative treatment fails, other interventional methods such as local anesthetic and steroid injections, neurolysis of sacral nerve roots, caudal epidural block, pulse radio frequency, levator ani massage and stretching, blockage of ganglion impar, and coccygeal manipulation may be applied. Coccygectomy is a clinically approved method for the treatment of patients in whom both conservative and interventional methods have failed. Anahtar Kelimeler : Coccygodynia, Coccygectomy, Coccyx fractures