Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia

作者：Barnabas Obeng-Gyasi, Ethan Brown, Anoop S. Chinthala, Gordon Mao · 发表于：Brain Sciences · 年份：2025 · DOI：10.3390/brainsci15020213 · 被引用次数：2 · 研究领域：Pain Management and Opioid Use、Pain Mechanisms and Treatments、Anesthesia and Pain Management

BACKGROUND: Coccygodynia presents significant challenges in diagnosis and treatment. While coccygectomy has emerged as a crucial intervention for refractory cases, significant heterogeneity exists in surgical techniques. Traditional approaches are increasingly complemented by novel methods, necessitating a comprehensive review of current surgical options. METHODS: A comprehensive literature review was conducted using Ovid MEDLINE, Cochrane Library and Embase databases from inception to present. Search terms included "coccygectomy", "coccydynia", "coccygodynia", "coccyx pain" and "tailbone pain". We analyzed peer-reviewed studies focusing on surgical techniques, outcomes and complications of coccygectomy. Studies were excluded if non-peer-reviewed, non-English without translation, or not directly addressing surgical management. RESULTS: Traditional midline approaches, while common, demonstrate increased wound complications compared to paramedian techniques. Minimally invasive methods, including coccygeoplasty and endoscopic coccygectomy, show promising early outcomes with reduced recovery times. Both partial and complete resections provide significant pain relief, with complete resection potentially offering superior results in severe cases. Wound closure technique significantly impacts surgical success. CONCLUSIONS: Optimal outcomes in coccygectomy require individualized surgical approaches incorporating modern techniques like paramedian incision and advanced wound closure. E...