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KMID : 0388720170240010055
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Journal of Korean Society of Spine Surgery
2017 Volume.24 No. 1 p.55 ~ p.58
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First Coccygeal Vertebra Dislocation Treated by Open Reduction and Internal Fixation
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Chang Se-Ang
Yoo Hyun-Seung
Kim Ka-Ram
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Abstract
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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.
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KEYWORD
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Coccygeal vertebrae dislocation, Coccygodynia, Open reduction and internal fixation
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