Dear editor,
We recently read the interesting article entitled "Coccygectomy as a surgical option in the treatment of chronic traumatic coccygodynia: a single-center experience and literature review" by Antoniadis et al. [1] which touches on an underrated topic in neurosurgical practice.
Periosteal preservation and closure during the coccygectomy procedure have been found to be related to a low risk of infection [2]. Although Antoniadis et al. did not mention this in their case series, the information should be presented in a literature review.
Additionally, some other treatment options, such as caudal epidural pulsed radiofrequency treatment, have been found to be efficient after unsuccessful non-surgical and surgical treatment modalities in the treatment of coccygodynia and should also be mentioned in the article. Atim et al. [3] achieved excellent and good results in 81% of cases treated with caudal epidural pulsed radiofrequency.
We expect that these small additions will increase the value of Antoniadis' article.
Footnotes
Conflict of Interest: No potential conflict of interest relevant to this article was reported.
References
- 1.Antoniadis A, Ulrich NH, Senyurt H. Coccygectomy as a surgical option in the treatment of chronic traumatic coccygodynia: a single-center experience and literature review. Asian Spine J. 2014;8:705–710. doi: 10.4184/asj.2014.8.6.705. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Bilgic S, Kurklu M, Yurttas Y, Ozkan H, Oguz E, Sehirlioglu A. Coccygectomy with or without periosteal resection. Int Orthop. 2010;34:537–541. doi: 10.1007/s00264-009-0805-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Atim A, Ergin A, Bilgic S, Deniz S, Kurt E. Pulsed radiofrequency in the treatment of coccygodynia. Agri. 2011;23:1–6. doi: 10.5505/agri.2011.59002. [DOI] [PubMed] [Google Scholar]