Complications
The coccygectomy incision is located in the interlineal fold in proximity to the anus, facilitating wound contamination.
Infection rates as high as 14% to 27% have been reported, although in some series the rates are much lower (0% to 3%).[15][45][46][47] The most recent literature reports an infection rate of approximately 11%.[48][49]
Postoperative antibiotics are continued for 72 hours.
A low residual, constipating diet may be advised, to avoid the need for bowel movements in the immediate postoperative period.
Rectal hernia is a rare complication after coccygectomy.[38][39][50]
None of the published case series have reported the complication of rectal hernia or rectal injury.
Patients being considered for coccygectomy should be referred to neurosurgeons or orthopedic spine surgeons familiar with the procedure.
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