Coccydynia can be attributed to various factors, including fractures, subluxations, and hypermobility within the sacrococcygeal area. Current treatment options often fall short in effectiveness. Coccygeoplasty (CP) represents a relatively recent, minimally invasive approach that aims to tackle this challenging clinical issue. The aim of this study is to evaluate clinical outcomes immediately following the procedure and at 3- and 12-month follow-ups for patients suffering from coccydynia linked to coccygeal hypermobility and subluxation. Furthermore, we seek to assess any correlations between imaging results and clinical outcomes at the follow-up intervals. A prospectively maintained database was used to retrospectively assess all patients who received CP for chronic coccydynia from January 2005 until December 2023. Each participant exhibited painful hypermobility (greater than 25\u00b0) with anterior flexion verified through radiological assessments. Alternative coccydynia causes were ruled out using CT and MRI imaging techniques. Procedures were conducted under local anesthesia with a combination of fluoroscopic and CT guidance. Clinical assessments were performed at 3- and 12-months post-treatment utilizing the Visual Analogue Scale (VAS). A total of 19 patients underwent treatment at a single center. There were no complications linked to the procedures. At both the 3- and 12-months post-treatment, 75% of patients reported substantial reduction in VAS scores compared to baseline, with average reductions of 3.5 and 4.9, respectively. No instances of pain recurrence were noted at the 12-month follow-up, although one patient did not experience any pain alleviation. Post-treatment CT scans confirmed the fusion of sacrococcygeal segments in 14 patients, yet no significant correlation was identified between the imaging outcomes and clinical results (p=0.1). Patients suffering from chronic coccygeal pain due to subluxation and hypermobility exhibited positive clinical outcomes following CP, as evidenced at both the 3- and 12-month evaluations. Additional research is warranted to validate this technique further and identify factors that predict treatment success. Coccygeoplasty may serve as a viable alternative to coccygectomy.<\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false},"categories":[2608],"tags":[2760,2761,2762,2764,848,2763],"affiliation":[],"contributor":[2754,2757,2752,2758,2751,2681,2680,2753,2756,2755,2759],"journalissue":[2647],"class_list":["post-21642","article","type-article","status-publish","hentry","category-jo-vol-16-n-1-jan-apr-2024","tag-coccydynia","tag-coccyx","tag-fractures","tag-hypermobility","tag-pain","tag-subluxations","contributor-a-e-de-vivo","contributor-g-danna","contributor-i-gil","contributor-j-hirsch","contributor-l-manfre","contributor-m-bonetti","contributor-m-frigerio","contributor-p-calvao-pires","contributor-r-v-chandra","contributor-s-masala","contributor-t-baptista","journalissue-jo-vol-16-n-1-jan-apr-2024"],"acf":[],"yoast_head":"\n