ISSN : 2146-3123
E-ISSN : 2146-3131

Polymethylmetacrylate Cement Augmentation of the Coccyx (Coccygeoplasty) for Fracture: A Case Report
Ezgi Akar1, Orkun Koban2, Ahmet Öğrenci2, Mesut Yılmaz3, Sedat Dalbayrak2
1Department of Neurosurgery, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey
2Department of Neurosurgery, Okan University School of Medicine, İstanbul, Turkey
3Department of Neurosurgery, Neurospinal Academia, İstanbul, Turkey
DOI : 10.4274/balkanmedj.galenos.2020.2020.4.68

Background: Coccydynia is a painful disease of the sacrococcygeal region, which causes discomfort, especially as symptoms are aggravated by sitting. It is frequently related to trauma and idiopathic causes, and the pain is mostly chronic in character. Percutaneous vertebroplasty and sacroplasty are the methods widely used in treating compression fractures and deficiency of vertebral body and sacrum. However, the efficiency of polymethylmethacrylate injection in the treatment of osteoporotic coccyx fractures and coccydynia is still unknown.
Case Report: A 68-year-old man admitted to our clinic with complaints of pain in the sacrococcygeal and perianal regions. In the imaging studies, a fracture line in 5th sacral and 1st coccygeal segments, as well as oedema in the bone structure was observed. Since the patient's pain did not improve with conservative methods, we treated our patient with coccygeoplasty.
Conclusion: In this report, we have presented a case with osteoporotic coccyx fracture treated through coccygeoplasty. We recommend coccygeoplasty in the treatment of acute or subacute osteoporotic coccygeal fractures and coccydynia with oedema.

Keywords : Fracture, coccydynia, coccygeoplasty, osteoporosis
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