• 作者：M. Cortiñ ; as Sá ; enz^a ; ^{stl967523977@wanadoo.es} ; J.A. Iglesias Cerrillo^a ; C. Vá ; zquez Colomo^b ; G. Salmeró ; n Vé ; lez^b ; A. Quirante Pizarro^a ; F. Jerez Collado^c
• 关键词：Coccigodinia ; Coxis ; Cocciguectomí ; a ; Tratamiento ; Bloqueo caudal ; Bloqueo ganglio impar
• 刊名：Revista Espa?ola de Cirug¨ªa Ortop¨¦dica y Traumatolog¨ªa
• 出版年：2011
• 出版时间：September-October 2011
• 年：2011
• 卷：55
• 期：5
• 页码：340-345
• 全文大小：226 K

Introduction

Coccydynia is a term that refers to pain in the region of the coccyx. Most cases are associated with abnormal mobility of the coccyx which may trigger a chronic inflammatory process leading to degeneration of this structure. Non-surgical management remains the gold standard treatment for coccydynia, consisting of decreased sitting, seat cushioning, coccygeal massage, stretching, manipulation, local injection of steroids or anaesthetics, and postural adjustments.

Material and methods

A retrospective study of 23 patients who underwent treatment for coccydynia and failed to respond to conservative management. They were treated by radiologically guided infiltration of the ganglion blockade impar and/or caudal blockade with 1 % lidocaine 60-80 mg triamcinolone. Of these 23 patients, 21 were available for clinical review and completed a questionnaire giving their assessment of the effect of the infiltration of the ganglion impar block and/or caudal block.

Results

Good results were obtained in 16 of the 21 patients with coccydynia due to trauma. In five patients the results were moderate or poor, although none described worse pain after the operation. They are no complications after the infiltration.

Conclusion

Ganglion impar block and/or caudal block offered satisfactory relief of pain in the majority of patients regardless of the cause of their symptoms.