SciELO - Scientific Electronic Library Online

vol.20 número5Comportamiento de los factores de riesgo modificables después del primer evento agudo de la enfermedad cerebro-vascularPrimeras manifestaciones clínicas de un síndrome de X frágil en la comunidad índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Revista Archivo Médico de Camagüey

versión On-line ISSN 1025-0255


HERNANDEZ GONZALEZ, Erick Héctor; GUEDES CONSUEGRA, Mario Lázaro  y  MOSQUERA BETANCOURT, Gretel. Total subperiosteal coccygectomy for chronic traumatic refractory coccygodynia. AMC [online]. 2016, vol.20, n.5, pp.524-530. ISSN 1025-0255.

Background: coccygodynia or coccyx pain is an infrequent condition with an incidence that is not well defined. It affects women of 30 to 50 years of age five times more than men and it is associated with obesity. Trauma caused by falls, repetitive microtrauma or labor are the common causes. Objective: to present a case of total subperiosteal coccygectomy for the treatment for chronic traumatic refractory coccygodynia. Clinical case: a fifty-one year-old female patient, who attends a health center, with pain around the coccyx from five years of evolution due to a fall, increasing when defecating and having sexual intercourse. Numerous conservative treatments were given, without seeing evident clinical recovery. As a result, two years later, partial coccygectomy was performed. However, it did not have success. When examined physically, the patient felt pain in the coccyx projection and rectal examination with anal sphincter good tone and empty rectal ampulla. A coccyx X-ray that was not conclusive for diagnosis was carried out. Therefore, CT scans of sacrococcyx with 3D reconstructions which confirmed the complete presence of coccyx. Total subperiosteal coccygectomy was performed. Conclusions: total subperiosteal coccygectomy is a safe and feasible surgical technique in patients with chronic refractory coccygodynia, that can improve the symptoms with an scarce percentage of complications, as long as physicians give a right prognosis according to the cause that leads to it.


        · resumen en Español     · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons