Morphometric evaluation of coccyx in patients with coccydynia and classification

Year 2020, Volume: 4 Issue: 1, 61 - 67, 02.03.2020

Birol Özkal , Seda Avnioğlu , Büşra Candan

https://doi.org/10.30565/medalanya.636497

Cited By: 3

Abstract

Aim: This study aimed to aimed to classiffication the morphological and pathological anatomic features of patients with coccydynia.

Patients and Method: Patients over 16 years of age who were admitted to Alanya Alaaddin Keykubat University Educational Research Hospital with complaints of coccydynia between April 2015 and April 2018, were included in the study. The sitting and standing coccyx and anterior-posterior pelvic radiographs of the patients were examined retrospectively.

Results: It was observed that coccyx scoliosis, hypermobility, and dislocation were unrelated to sacrococcygeal angulation. There was a positive correlation between sacrococcygeal and intercoccygeal angles in the measurements of sitting and standing coccyx radiographs of the patients. There was a correlation between the length of the sacrum and length of the coccyx and also the intercoccygeal angle and coccyx length in the unoperated patients. There was a positive correlation between length of the sacrococcygeal joint and sacrococcygeal angle in males. Fusion in the sacrococcygeal joint was less in females. 

Conclusion: In the evaluation of patients with coccydynia, it should not be forgotten that the coccyx is a spinal segment which can move in all planes and develop pathology. Side and AP positioned sitting and standing dynamic radiography is an effective method for the detection of pathology in this patients. New classification including pathology in all three planes is needed in the classification of patients with coccydynia. We believe that our classification will eliminate this deficit. 

Keywords

Coccydynia, Coccyx, Classification, Morphology

Koksidinialı Hastalarda koksiksin morfometrik değerlendirilmesi ve sınıflandırması

Abstract

Amaç: Koksidinalı hastalarda morfolojik ve patolojik anatominin özellikleri sınıflandırmayı amaçladık.

Hastalar ve yöntem: Nisan 2015 - Nisan 2018 tarihleri arasında Alanya Alaaddin Keykubat Üniversitesi Eğitim Araştırma Hastanesine koksidina yakınması ile başvuran 16 yaş ve üzerindeki hastalar çalışmaya dahil edildi. Hastaların oturarak ve ayakta çekilen koksiks ve ön-arka pelvis grafileri retrospektif olarak incelendi.

Bulgular: Koksiksin skolyozunun, hipermobilitesinin ve dislokasyonunun sakrokoksigeal açılanma ile ilişkili olmadığı görüldü. Hastaların oturarak ve ayakta çekilen koksiks grafi ölçümlerinde sakrokoksigeal ve interkoksigeal açıları arasında pozitif yönlü anlamlı bir ilişki bulundu. Ameliyat olmamış hastalarda sakrum ve koksiks uzunluğu arasında ve interkoksigeal açı ve koksiks uzunluğu arasında ilişki bulundu. Erkeklerde sakrokoksigeal eklem uzunluğu ile sakrokoksigeal açı ilişkili bulundu. Kadınlarda sakrokoksigeal eklemde füzyonun daha düşük olduğu tespit edildi. 

Sonuç: Koksidina yakınması ile gelen hastalar değerlendirilirken koksiksin tüm düzlemlerde hareket edebilen ve patoloji geliştirebilen bir omurga segmenti olduğu unutulmamalıdır. Bu hastaların yan ve AP pozisyonda oturarak ve ayakta çekilen dinamik direkt grafilerle değerlendirilmesi patolojinin bulunmasında etkili bir yöntemdir. Koksidinalı hastalarının sınıflandırılmasında her üç düzlemde patoloji içeren yeni sınıflandırma gereklidir. Sınıflandırmamızın bu eksikliği gidereceğini düşünmekteyiz.

Keywords

Koksidinia, Koksiks, Sınıflandırma, Morfoloji

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