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

Amaç: Bu çalışmada kronik posttravmatik koksidinia tedavisinde koksektomi sonuçları değerlendirilmiştir.Hastalar ve Yöntem: Eylül 2011, Temmuz 2013 yılları arasında kronik posttravmatik koksidinia tanısıylakoksektomi 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 klinikolarak visual analog score (VAS) kullanılarak skorlanmıştır.Bulgu: Çalışmamızda hastalar için ortalama takip süresi 30.5 aydır (aralık; 22–38 ay). Cerrahi tedaviöncesi 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 enfeksiyonugörülmesine rağmen sonunda bütün yaralar sorunsuz iyileşmiştir.Sonuç: Konservatif cerrahi dışı tedavilerin başarısız olduğu durumlarda koksektomi nisbeten güvenlive etkili bir tedavi yöntemidir.ABSTRACTObjectives: We evaluated the clinical outcomes of total coccygectomy for chronic traumaticcoccygodynia.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 betweenSeptember 2011 and July 2013. All patients were clinically rated prior to surgery and at the finalfollow-up visit using a visual analog score (VAS).Results: The mean follow-up duration was 30.5 months (range, 22–38 months). The medianpreoperative VAS score was 7 (range, 6–9) points, which had decreased to 2 (range, 1–7) points atthe final follow-up visit. We observed two superficial wound infections that caused delayed woundhealing. However, all wounds eventually healed completely.Conclusion: Coccygectomy is a relatively safe and effective treatment method for chronic posttraumaticcoccygodynia when non-operative treatment methods fail.

Anahtar Kelimeler:

Koksigeal travma; Kronik koksidinia; Koksektomi

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