Bayne O, Bateman J E, Cameron H U
Clin Orthop Relat Res. 1984 Nov(190):266-72.
The results of coccygectomy for coccygodynia seem not to have been correlated with etiologic factors and were investigated in 48 cases (10 men and 38 women) with an average follow-up period of seven years. The following four etiologic groups were designated: I, direct trauma; II, spontaneous in origin; III, coccygodynia associated with spinal surgery; and IV, postpartum. Groups I and IV had a 75% recovery rate from pain and Group II had a 58% recovery rate. No satisfactory results were obtained in Group III. The incidence of infection was 16.6%. Few satisfactory results were obtained in cases of deep infection. While this operation is effective in many cases, it is seldom successful for pain associated with lumbar disc disease requiring lumbar laminectomy and spine fusion. Prophylactic antibiotic therapy is clearly indicated.
尾骨切除术治疗尾骨痛的结果似乎与病因无关，我们对48例患者（10例男性和38例女性）进行了研究，平均随访期为7年。确定了以下四个病因组：I，直接创伤；II，原发性；III，与脊柱手术相关的尾骨痛；IV，产后。I组和IV组的疼痛缓解率为75%，II组为58%。III组未获得满意结果。感染发生率为16.6%。深部感染病例很少获得满意结果。虽然该手术在许多情况下有效，但对于需要腰椎椎板切除术和脊柱融合术的腰椎间盘疾病相关疼痛很少成功。预防性抗生素治疗显然是必要的。
