Coccygectomy: an effective treatment option for chronic coccydynia: retrospective results in 41 consecutive patients

J Bone Joint Surg Br. 2010 Feb;92(2):242-5. doi: 10.1302/0301-620X.92B2.23030.


Between 1993 and 2008, 41 patients underwent total coccygectomy for coccydynia which had failed to respond to six months of conservative management. Of these, 40 patients were available for clinical review and 39 completed a questionnaire giving their evaluation of the effect of the operation. Excellent or good results were obtained in 33 of the 41 patients, comprising 18 of the 21 patients with coccydynia due to trauma, five of the eight patients with symptoms following childbirth and ten of 12 idiopathic onset. In eight patients the results were moderate or poor, although none described worse pain after the operation. The only post-operative complication was superficial wound infection which occurred in five patients and which settled fully with antibiotic treatment. One patient required re-operation for excision of the distal cornua of the sacrum. Total coccygectomy offered satisfactory relief of pain in the majority of patients regardless of the cause of their symptoms.

Publication types

  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Chronic Disease
  • Coccyx / injuries
  • Coccyx / surgery*
  • Female
  • Humans
  • Low Back Pain / etiology
  • Low Back Pain / surgery*
  • Male
  • Middle Aged
  • Puerperal Disorders / surgery
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult