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Coccygectomy for refractory coccygodynia: a systematic review and meta-analysis.
Sagoo, Navraj S; Haider, Ali S; Palmisciano, Paolo; Vannabouathong, Christopher; Gonzalez, Roberto; Chen, Andrew L; Lokesh, Nidhish; Sharma, Neha; Larsen, Kylan; Singh, Ravinderjit; Mulpuri, Neha; Rezzadeh, Kevin; Caldwell, Christie; Tappen, Lori A; Gill, Kevin; Vira, Shaleen.
Afiliación
  • Sagoo NS; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Haider AS; Deparment of Neurosurgery, MD Anderson Cancer Center, Houston, TX, USA.
  • Palmisciano P; Department of Neurosurgery, Trauma and Gamma Knife Center, Cannizzaro Hospital, Catania, Italy.
  • Vannabouathong C; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Gonzalez R; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Chen AL; Department of Orthopaedic Surgery, Texas Tech University School of Medicine, Lubbock, TX, USA.
  • Lokesh N; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Sharma N; Roseman University of Health Sciences, South Jordan, UT, USA.
  • Larsen K; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Singh R; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Mulpuri N; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Rezzadeh K; 6Department of Orthopaedic Surgery, Cedars-Sinai Orthopaedics, Los Angeles, CA, USA.
  • Caldwell C; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Tappen LA; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Gill K; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA.
  • Vira S; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, MC 8855, USA. shaleen.vira@utsouthwestern.edu.
Eur Spine J ; 31(1): 176-189, 2022 01.
Article en En | MEDLINE | ID: mdl-34694498
PURPOSE: We sought to systematically assess and summarize the available literature on outcomes following coccygectomy for refractory coccygodynia. METHODS: PubMed, Scopus, and Cochrane Library databases were systematically searched in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data concerning patient demographics, validated patient reported outcome measures (PROMs) for pain relief, disability outcomes, complications, and reoperation rates were extracted and analyzed. RESULTS: A total of 21 studies (18 retrospective and 3 prospective) were included in the quantitative analysis. A total of 826 patients (females = 75%) received coccygectomy (720 total and 106 partial) for refractory coccygodynia. Trauma was reported as the most common etiology of coccygodynia (56%; n = 375), followed by idiopathic causes (33%; n = 221). The pooled mean difference (MD) in pain scores from baseline on a 0-10 scale was 5.03 (95% confidence interval [CI]: 4.35 to 6.86) at a 6-12 month follow-up (FU); 5.02 (95% CI: 3.47 to 6.57) at > 12-36 months FU; and 5.41 (95% CI: 4.33 to 6.48) at > 36 months FU. The MCID threshold for pain relief was surpassed at each follow-up. Oswestry Disability Index scores significantly improved postoperatively, with a pooled MD from baseline of - 23.49 (95% CI: - 31.51 to - 15.46), surpassing the MCID threshold. The pooled incidence of complications following coccygectomy was 8% (95% CI: 5% to 12%), the most frequent of which were surgical site infections and wound dehiscence. The pooled incidence of reoperations was 3% (95% CI: 1% to 5%). CONCLUSION: Coccygectomy represents a viable treatment option in patients with refractory coccygodynia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Cóccix Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Patient_preference Límite: Female / Humans Idioma: En Revista: Eur Spine J Asunto de la revista: ORTOPEDIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Cóccix Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Patient_preference Límite: Female / Humans Idioma: En Revista: Eur Spine J Asunto de la revista: ORTOPEDIA Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania