KRONİK POSTTRAVMATİK KOKSİDİNİA TEDAVİSİNDE KOKSEKTOMİ SONUÇLARIMIZ Clinical outcomes of Coccygectomy after Chronic Post-Traumatic Coccygodynia Treatment

Öz

Amaç: Bu çalışmada kronik posttravmatik koksidinia tedavisinde koksektomi sonuçları değerlendirilmiştir.

Hastalar ve Yöntem: Eylül 2011, Temmuz 2013 yılları arasında kronik posttravmatik koksidinia tanısıyla

koksektomi uygulanmış 19 hasta çalışmaya dahil edilmiştir. (7 [36.8%] erkek, 12 [63.2%]

kadın; ortalama yaş, 47.5 ± 9.3 yıl). Bütün hastalar cerrahi tedavi öncesi ve son kontrollerinde klinik

olarak visual analog score (VAS) kullanılarak skorlanmıştır.

Bulgu: Çalışmamızda hastalar için ortalama takip süresi 30.5 aydır (aralık; 22–38 ay). Cerrahi tedavi

öncesi ortalama VAS skoru 7 (aralık, 6–9) olup, son kontrollerde bu değer 2’ ye (aralık, 1–7)

gerilemiştir. Sadece 2 hastada gecikmiş yara iyileşmesine neden olan yüzeyel yara enfeksiyonu

görülmesine rağmen sonunda bütün yaralar sorunsuz iyileşmiştir.

Sonuç: Konservatif cerrahi dışı tedavilerin başarısız olduğu durumlarda koksektomi nisbeten güvenli

ve etkili bir tedavi yöntemidir.

ABSTRACT

Objectives: We evaluated the clinical outcomes of total coccygectomy for chronic traumatic

coccygodynia.

Methods: We performed a retrospective review of 19 consecutive patients (7 [36.8%] male,

12 [63.2%] female; mean age, 47.5 ± 9.3 years) who underwent total coccygectomy between

September 2011 and July 2013. All patients were clinically rated prior to surgery and at the final

follow-up visit using a visual analog score (VAS).

Results: The mean follow-up duration was 30.5 months (range, 22–38 months). The median

preoperative VAS score was 7 (range, 6–9) points, which had decreased to 2 (range, 1–7) points at

the final follow-up visit. We observed two superficial wound infections that caused delayed wound

healing. However, all wounds eventually healed completely.

Conclusion: Coccygectomy is a relatively safe and effective treatment method for chronic posttraumatic

coccygodynia when non-operative treatment methods fail.

Anahtar Kelimeler

• Koksigeal travma; Kronik koksidinia; Koksektomi

Kaynakça

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