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Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report

BACKGROUND: Coccydynia is a painful condition of the sacrococcygeal region, with symptoms associated with sitting and rising from a seated position. It is frequently related to trauma and idiopathic causes, and the pain is mostly chronic. Percutaneous vertebroplasty and sacroplasty are the methods t...

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Autores principales: Akar, Ezgi, Koban, Orkun, Öğrenci, Ahmet, Yılmaz, Mesut, Dalbayrak, Sedat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590546/
https://www.ncbi.nlm.nih.gov/pubmed/32573177
http://dx.doi.org/10.4274/balkanmedj.galenos.2020.2020.4.68
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author Akar, Ezgi
Koban, Orkun
Öğrenci, Ahmet
Yılmaz, Mesut
Dalbayrak, Sedat
author_facet Akar, Ezgi
Koban, Orkun
Öğrenci, Ahmet
Yılmaz, Mesut
Dalbayrak, Sedat
author_sort Akar, Ezgi
collection PubMed
description BACKGROUND: Coccydynia is a painful condition of the sacrococcygeal region, with symptoms associated with sitting and rising from a seated position. It is frequently related to trauma and idiopathic causes, and the pain is mostly chronic. Percutaneous vertebroplasty and sacroplasty are the methods that are widely used for treating compression fractures and sacral insufficiency fractures, respectively. However, the success of polymethylmethacrylate injection in the treatment of osteoporotic coccyx fractures and coccydynia is still unknown. CASE REPORT: A 68-year-old man was admitted to our clinic with complaints of pain in the sacrococcygeal and perianal regions. In the imaging studies, a fracture line in the fifth sacral and first coccygeal segments was observed as evidenced by a bony edema. Since the patient’s pain did not improve with conservative methods, we treated him with coccygeoplasty. No complication was encountered. The day after the operation, he was discharged from the hospital with complete pain relief. The patient confirmed having no pain on the third postoperative month and so did not need any analgesics. CONCLUSION: Coccyceoplasty may be a good treatment option for retractable pain in patients with acute or subacute osteoporotic coccygeal fractures and coccydinia with edema.
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spelling pubmed-75905462020-11-13 Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report Akar, Ezgi Koban, Orkun Öğrenci, Ahmet Yılmaz, Mesut Dalbayrak, Sedat Balkan Med J Case Report BACKGROUND: Coccydynia is a painful condition of the sacrococcygeal region, with symptoms associated with sitting and rising from a seated position. It is frequently related to trauma and idiopathic causes, and the pain is mostly chronic. Percutaneous vertebroplasty and sacroplasty are the methods that are widely used for treating compression fractures and sacral insufficiency fractures, respectively. However, the success of polymethylmethacrylate injection in the treatment of osteoporotic coccyx fractures and coccydynia is still unknown. CASE REPORT: A 68-year-old man was admitted to our clinic with complaints of pain in the sacrococcygeal and perianal regions. In the imaging studies, a fracture line in the fifth sacral and first coccygeal segments was observed as evidenced by a bony edema. Since the patient’s pain did not improve with conservative methods, we treated him with coccygeoplasty. No complication was encountered. The day after the operation, he was discharged from the hospital with complete pain relief. The patient confirmed having no pain on the third postoperative month and so did not need any analgesics. CONCLUSION: Coccyceoplasty may be a good treatment option for retractable pain in patients with acute or subacute osteoporotic coccygeal fractures and coccydinia with edema. Galenos Publishing 2020-11 2020-10-23 /pmc/articles/PMC7590546/ /pubmed/32573177 http://dx.doi.org/10.4274/balkanmedj.galenos.2020.2020.4.68 Text en ©Copyright 2020 by Trakya University Faculty of Medicine http://creativecommons.org/licenses/by/2.5/ The Balkan Medical Journal published by Galenos Publishing House.
spellingShingle Case Report
Akar, Ezgi
Koban, Orkun
Öğrenci, Ahmet
Yılmaz, Mesut
Dalbayrak, Sedat
Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report
title Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report
title_full Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report
title_fullStr Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report
title_full_unstemmed Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report
title_short Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report
title_sort polymethylmetacrylate cement augmentation of the coccyx (coccygeoplasty) for fracture: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590546/
https://www.ncbi.nlm.nih.gov/pubmed/32573177
http://dx.doi.org/10.4274/balkanmedj.galenos.2020.2020.4.68
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