First Coccygeal Vertebra Dislocation Treated by Open Reduction and Internal Fixation.
10.4184/jkss.2017.24.1.55
- Author:
Se Ang CHANG
1
;
Hyun Seung YOO
;
Karam KIM
Author Information
1. Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Korea. 98tjddlr@naver.com
- Publication Type:Case Report
- Keywords:
Coccygeal vertebrae dislocation;
Coccygodynia;
Open reduction and internal fixation
- MeSH:
Adolescent;
Dislocations*;
Female;
Humans;
Methods;
Spine*
- From:Journal of Korean Society of Spine Surgery
2017;24(1):55-58
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Case report. OBJECTIVES: To report the effectiveness of open reduction and internal (screw) fixation treatment performed to treat dislocation of the first coccygeal vertebra. SUMMARY OF LITERATURE REVIEW: Most treatment methods for coccygeal dislocation were conservative treatment for acute coccygodynia and coccygectomy for chronic coccygodynia. MATERIALS AND METHODS: A 18-year-old female presented with severe coccygodynia due to a fall down the stairs. Computed tomography showed dislocation of the first coccygeal vertebra. We performed open reduction and internal fixation with a 4.0-mm shortthread cancellous screw with a washer, with no additional procedure for bone union. RESULTS: Union was achieved 10 weeks postoperatively. CONCLUSIONS: Open reduction and internal (screw) fixation can be a useful method for coccygeal vertebra dislocation.