Clinical anatomy of the coccyx: A systematic review

Clinical Anatomy

Volumn 25, Issue 2, 2012, Pages 158-167

  Woon, Jason T K ^a   Stringer, Mark D ^a  

^a UNIVERSITY OF OTAGO   (New Zealand)

Author keywords

coccydynia; coccygeal body; coccygeal ligaments; coccygeal plexus; ganglion impar

Indexed keywords

BACK; BONE DEVELOPMENT; BONE PAIN; COCCYGEAL BONE; COCCYGODYNIA; ETIOLOGY; HUMAN; JOINT; LIGAMENT; MUSCLE; NERVE; NONHUMAN; OSTEOLOGY; PRIORITY JOURNAL; REVIEW; VASCULARIZATION;

COCCYX; DATABASES, BIBLIOGRAPHIC; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; SACROCOCCYGEAL REGION; SPINAL DISEASES;

EID: 84857045380     PISSN: 08973806     EISSN: 10982353     Source Type: Journal    
DOI: 10.1002/ca.21216     Document Type: Review

References (74)

1. Abitbol MM,. 1988. Evolution of the ischial spine and of the pelvic floor in the Hominoidea. Am J Phys Anthropol 75: 53-67. (Pubitemid 18054441)
2. Agency for Healthcare Research and Quality (1999-2011). U.S. Department of Health and Human Services. HCUPnet: A tool for identifying, tracking and analyzing national hospital statistics. URL: http://hcupnet.ahrq.gov [accessed January 2011 ].
3. Aggarwal A, Kaur H, Batra YK, Aggarwal AK, Rajeev S, Sahni D,. 2009. Anatomic consideration of caudal epidural space: A cadaver study. Clin Anat 22: 730-737.
4. Albrecht S, Hicks MJ, Antalffy B,. 1994. Intracoccygeal and pericoccygeal glomus bodies and their relationship to coccygodynia. Surgery 115: 1-6. (Pubitemid 24039204)
5. Alexiou GA, Sfakianos G, Prodromou N,. 2009. Human tail and spinal dysraphism. J Pediatr Surg 44: 477-478.
6. Balain B, Eisenstein SM, Alo GO, Darby AJ, Cassar-Pullicino VN, Roberts SE, Jaffray DC,. 2006. Coccygectomy for coccydynia: Case series and review of literature. Spine 31: E414-E420. (Pubitemid 43880181)
7. Baque P, Karimdjee B, Iannelli A, Benizri E, Rahili A, Benchimol D, Bernard JL, Sejor E, Bailleux S, de Peretti F, Bourgeon A,. 2004. Anatomy of the presacral venous plexus: Implications for rectal surgery. Surg Radiol Anat 26: 355-358. (Pubitemid 39386486)
8. Barber MD, Bremer RE, Thor KB, Dolber PC, Kuehl TJ, Coates KW,. 2002. Innervation of the female levator ani muscles. Am J Obstet Gynecol 187: 64-71. (Pubitemid 34800302)
9. Becker I, Woodley SJ, Stringer MD,. 2010. The adult human pubic symphysis: A systematic review. J Anat 217: 475-487.
10. Bell RS, Goodman SB, Fornasier VL,. 1982. Coccygeal glomus tumors: A case of mistaken identity? J Bone Joint Surg Am 64: 595-597. (Pubitemid 12107714)
11. Bilgic S, Kurklu M, Yurttas Y, Ozkan H, Oguz E, Sehirlioglu A,. 2010. Coccygectomy with or without periosteal resection. Int Orthop 34: 537-541.
12. Blaszczyk B,. 1981. Variation of ganglia of the pelvic segment of the sympathetic trunk in human fetuses. Folia Morphol (Warsz) 39: 313-326. (Pubitemid 12235600)
13. Broome DR, Hayman LA, Herrick RC, Braverman RM, Glass RB, Fahr LM,. 1998. Postnatal maturation of the sacrum and coccyx: MR imaging, helical CT, and conventional radiography. AJR Am J Roentgenol 170: 1061-1066. (Pubitemid 28172898)
14. Cebesoy O, Guclu B, Kose KC, Basarir K, Guner D, Us AK,. 2007. Coccygectomy for coccygodynia: do we really have to wait? Injury 38: 1183-1188. (Pubitemid 47488269)
15. Conti A, Maestroni GJ, Cosentino M, Frigo G, Lecchini S, Marino F, Bombelli R, Ferrari M, Brivio F, Roselli MG, Lissoni P,. 2000. Evidence for a neuroimmunomodulatory and a hematopoietic role of the Luschka's coccygeal body(3). Neuro Endocrinol Lett 21: 391-403.
16. Di Marino V, Bonnoit J, Bonneau HP, Chrestian P, Argeme M, Guerinel G,. 1975. Anatomical studies of Luschka's gland. Bull Assoc Anat 59: 391-397 [French].
17. Donovan DJ, Pedersen RC,. 2005. Human tail with noncontiguous intraspinal lipoma and spinal cord tethering: Case report and embryologic discussion. Pediatr Neurosurg 41: 35-40. (Pubitemid 40754709)
18. Duncan G,. 1937. Painful coccyx. Arch Surg 34: 1088-1104.
19. Esses SI, Botsford DJ, Huler RJ, Rauschning W,. 1991. Surgical anatomy of the sacrum. A guide for rational screw fixation. Spine 16: S283-S288.
20. Foye PM, Buttaci CJ,. 2008. Coccyx Pain: eMedicine [online] Available at: URL: http://emedicine.medscape.com/article/309486-overview [accessed January 2011].
21. Garcia FJ, Franco JD, Marquez R, Martinez JA, Medina J,. 1998. Posterior hernia of the rectum after coccygectomy. Eur J Surg 164: 793-794. (Pubitemid 28518464)
22. Garcia-Armengol J, Garcia-Botello S, Martinez-Soriano F, Roig JV, Lledo S,. 2008. Review of the anatomic concepts in relation to the retrorectal space and endopelvic fascia: Waldeyer's fascia and the rectosacral fascia. Colorectal Dis 10: 298-302. (Pubitemid 351284686)
23. Gáspár L, Jõnás Z, Kiss L, Vereb G, Csernátony Z,. 2009. Coccygectomy has a favorable effect on the intensity, manifestation, and characteristics of pain caused by coccygodynia: A retrospective evaluation of 34 patients followed for 3-18 years. Eur J Orthop Surg Traumatol 19: 403-407.
24. Gatalica Z, Wang L, Lucio ET, Miettinen M,. 1999. Glomus coccygeum in surgical pathology specimens: Small troublemaker. Arch Pathol Lab Med 123: 905-908. (Pubitemid 29480449)
25. Gombos Z, Fogt F, Zhang PJ,. 2008. Intraosseous glomus tumor of the great toe: A case report with review of the literature. J Foot Ankle Surg 47: 299-301. (Pubitemid 351893190)
26. Grassi R, Lombardi G, Reginelli A, Capasso F, Romano F, Floriani I, Colacurci N,. 2007. Coccygeal movement: Assessment with dynamic MRI. Eur J Radiol 61: 473-479. (Pubitemid 46274137)
27. Gray H, Carter HV,. 1858. Anatomy, Descriptive and Surgical. London: John W. Parker. p 16.
28. Grigorescu BA, Lazarou G, Olson TR, Downie SA, Powers K, Greston WM, Mikhail MS,. 2008. Innervation of the levator ani muscles: Description of the nerve branches to the pubococcygeus, iliococcygeus, and puborectalis muscles. Int Urogynecol J Pelvic Floor Dysfunct 19: 107-116. (Pubitemid 350193863)
29. Guvencer M, Dalbayrak S, Tayefi H, Tetik S, Yilmaz M, Erginoglu U, Baksan O, Guran S, Naderi S,. 2009. Surgical anatomy of the presacral area. Surg Radiol Anat 31: 251-257.
30. Hammer N, Steinke H, Slowik V, Josten C, Stadler J, Bohme J, Spanel-Borowski K,. 2009. The sacrotuberous and the sacrospinous ligamentâ€"A virtual reconstruction. Ann Anat 191: 417-425.
31. Health and Social Care Information Centre 2005-2011. Hospital Episode Statistics. URL: http://www.hesonline.nhs.uk [accessed January 2011 ].
32. Johnston HM,. 1908. The cutaneous branches of the posterior primary divisions of the spinal nerves, and their distribution in the skin. J Anat Physiol 43: 80-92.
33. Karadimas EJ, Trypsiannis G, Giannoudis PV,. 2010. Surgical treatment of coccygodynia: An analytic review of the literature. Eur Spine J 20: 698-705.
34. Kerimoglu U, Dagoglu MG, Ergen FB,. 2007. Intercoccygeal angle and type of coccyx in asymptomatic patients. Surg Radiol Anat 29: 683-687. (Pubitemid 350168091)
35. Key J,. 1937. Operative treatment of coccygodynia. J Bone Joint Surg 19: 759-764.
36. Kim NH, Suk KS,. 1999. Clinical and radiological differences between traumatic and idiopathic coccygodynia. Yonsei Med J 40: 215-220.
37. Kliskey K, Williams K, Yu J, Jackson D, Urban J, Athanasou N,. 2009. The presence and absence of lymphatic vessels in the adult human intervertebral disc: relation to disc pathology. Skeletal Radiol 38: 1169-1173.
38. Kunitomo K,. 1918. The development and reduction of the tail and of the caudal end of the spinal cord. Contributions Embryol 8: 161-198.
39. Le Double A,. 1912. Traité des variations de la colonne vertébrale de l'homme. Paris: Vigot frÃ̈res. p 501.
40. Lowrance EW, Latimer HB,. 1967. Weights and variability of components of the human vertebral column. Anat Rec 159: 83-88.
41. Maigne J, Molinié V, Fautrel B,. 1992. Anatomie des disques coccygiens. Revue de Medecine Orthopedique 28: 34-35.
42. Maigne JY, Doursounian L, Chatellier G,. 2000. Causes and mechanisms of common coccydynia: Role of body mass index and coccygeal trauma. Spine 25: 3072-3079.
43. Maigne JY, Tamalet B,. 1996. Standardized radiologic protocol for the study of common coccygodynia and characteristics of the lesions observed in the sitting position. Clinical elements differentiating luxation, hypermobility, and normal mobility. Spine 21: 2588-2593. (Pubitemid 26419095)
44. Miranda EP, Anderson AL, Dosanjh AS, Lee CK,. 2009. Successful management of recurrent coccygeal hernia with the de-epithelialised rectus abdominis musculocutaneous flap. J Plast Reconstr Aesthet Surg 62: 98-101.
45. Moore KL, Dalley AF, Agur AMR,. 2010. Clinically Oriented Anatomy. 6th Ed. Philadelphia, PA; London: Lippincott Williams & Wilkins. p 358-359, 451.
46. Mouhsine E, Garofalo R, Chevalley F, Moretti B, Theumann N, Borens O, Maffulli N, Schizas C, Wettstein M,. 2006. Posttraumatic coccygeal instability. Spine J 6: 544-549. (Pubitemid 44268941)
47. Nathan ST, Fisher BE, Roberts CS,. 2010. Coccydynia: A review of pathoanatomy, aetiology, treatment and outcome. J Bone Joint Surg Br 92: 1622-1627.
48. Niikura H, Jin ZW, Cho BH, Murakami G, Yaegashi N, Lee JK, Lee NH, Li CA,. 2010. Human fetal anatomy of the coccygeal attachments of the levator ani muscle. Clin Anat 23: 566-574.
49. O'Rahilly R, Muller F, Meyer DB,. 1990. The human vertebral column at the end of the embryonic period proper. 4. The sacrococcygeal region. J Anat 168: 95-111. (Pubitemid 20053153)
50. Oh CS, Chung IH, Ji HJ, Yoon DM,. 2004. Clinical implications of topographic anatomy on the ganglion impar. Anesthesioogy 101: 249-250.
51. Patijn J, Janssen M, Hayek S, Mekhail N, Van Zundert J, van Kleef M,. 2010. 14. Coccygodynia. Pain Pract 10: 554-559.
52. Pearson AA, Sauter RW,. 1971. Observations on the caudal end of the spinal cord. Am J Anat 131: 463-469.
53. Pearson AA, Sauter RW, Buckley TF,. 1966. Further observations on the cutaneous branches of the dorsal primary rami of the spinal nerves. Am J Anat 118: 891-903.
54. Pelin C, Duyar I, Kayahan EM, Zagyapan R, Agildere AM, Erar A,. 2005. Body height estimation based on dimensions of sacral and coccygeal vertebrae. J Forensic Sci 50: 294-297. (Pubitemid 40344253)
55. Postacchini F, Massobrio M,. 1983. Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Joint Surg Am 65: 1116-1124. (Pubitemid 13013823)
56. Potts TK,. 1925. The main peripheral connections of the human sympathetic nervous system. J Anat 59: 129-135.
57. Rociu E, Stoker J, Eijkemans MJ, LamÃ̂ris J,. 2000. Normal anal sphincter anatomy and age-and sex-related variations at high-spatial-resolution endoanal MR imaging. Radiology 217: 395-401.
58. Romanes GJ,. 1986. Cunningham's Manual of Practical Anatomy. 15th Ed. Oxford: Oxford University Press. p 236-238.
59. Roshanravan SM, Wieslander CK, Schaffer JI, Corton MM,. 2007. Neurovascular anatomy of the sacrospinous ligament region in female cadavers: Implications in sacrospinous ligament fixation. Am J Obstet Gynecol 197: 660.e1-e6.
60. Sagsoz N, Ersoy M, Kamaci M, Tekdemir I,. 2002. Anatomical landmarks regarding sacrospinous colpopexy operations performed for vaginal vault prolapse. Eur J Obstet Gynecol Reprod Biol 101: 74-78. (Pubitemid 34142251)
61. Saluja PG,. 1988. The incidence of ossification of the sacrococcygeal joint. J Anat 156: 11-15.
62. Santos LD, Chow C, Kennerson AR,. 2002. Glomus coccygeum may mimic glomus tumour. Pathology 34: 339-343. (Pubitemid 34827996)
63. Sargon MF, Hamdi Celik H, Demiryurek D, Dagdeviren A,. 1998. Fine structure of the human coccygeal body: A light and electron microscopic study. Ann Anat 180: 11-14. (Pubitemid 28072585)
64. Sato K,. 1980. A morphological analysis of the nerve supply of the sphincter ani externus, levator ani and coccygeus. Kaibogaku Zasshi 55: 187-223. [Japanese] (Pubitemid 10054545)
65. Sherman JL Jr,. 1963. Normal arteriovenous anastomoses. Medicine (Baltimore) 42: 247-267.
66. Standring S,. 2008. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 40th Ed. Edinburgh: Churchill Livingstone. p 728,1083- 1086, 1092-1093.
67. Sugar O,. 1995. Coccyx. The bone named for a bird. Spine 20: 379-383.
68. Testut L,. 1930. Traité d'anatomie humaine. Paris: Gaston Doin Editeurs. p 357-358.
69. Thompson JR, Gibb JS, Genadry R, Burrows L, Lambrou N, Buller JL,. 1999. Anatomy of pelvic arteries adjacent to the sacrospinous ligament: Importance of the coccygeal branch of the inferior gluteal artery. Obstet Gynecol 94: 973-977.
70. Toshniwal GR, Dureja GP, Prashanth SM,. 2007. Transsacrococcygeal approach to ganglion impar block for management of chronic perineal pain: A prospective observational study. Pain Physician 10: 661-666. (Pubitemid 47611108)
71. Tribus CB, Belanger T,. 2001. The vascular anatomy anterior to the L5-S1 disk space. Spine 26: 1205-1208. (Pubitemid 32520491)
72. Trollegaard AM, Aarby NS, Hellberg S,. 2010. Coccygectomy: An effective treatment option for chronic coccydynia: retrospective results in 41 consecutive patients. J Bone Joint Surg Br 92: 242-245.
73. Tubbs RS, Murphy RL, Kelly DR, Lott R, Salter EG, Oakes WJ,. 2005. The filum terminale externum. J Neurosurg Spine 3: 149-152.
74. Von Luschka H., 1868. The glandula coccygea of man. Br Med J 1: 424.