Sacral Rheumatoid Nodule: An Unusual Indication for Coccygectomy

Table 1

Case reports of patients treated for sacral nodules or other forms of nonidiopathic coccydynia.

Author/year	Age/sex	Symptom duration	Indication	Treatment	Prior treatment	Complication	Outcome
Sturrock, 1975	67/F	30 years	Nodular rheumatoid arthritis	Skin grafting	Topical antibiotics	None	Good, no recurrence
Sturrock, 1975	78/M	8 months	Nodular rheumatoid arthritis	Nodule resection	Conservative	Sacral ulcer, bronchopneumonia	Deceased, with local recurrence
Sturrock, 1975	68/F	5 years	Nodular rheumatoid arthritis	Prednisolone	Conservative	None	Good, no recurrence
Krasin, 2001	40/F	4 years	Carcinoid tumor	Coccygectomy	Chemotherapy	None	Good, no recurrence
Tulchinsky, 2005	44/F	7 years	Paracoccygeal teratoma	Coccygectomy	Antibiotics	Minor wound infection	Good, no recurrence
Gavriilidis, 2013	73/M	4 months	Sacrococcygeal chordoma	Coccygectomy	Conservative	None	Good, no recurrence
Kye, 2011	66/F		Epithelial cyst	Coccygectomy	Conservative	None	Good, no recurrence
Kye, 2011	24/F		Mature teratoma	Coccygectomy	Conservative	None	Good, no recurrence
Kye, 2011	53/F		Mature teratoma	Coccygectomy	Conservative	None	Good, no recurrence
Stewart, 2011	65/F		Rectal carcinoma metastasis	Coccygectomy	Conservative	None	Good, no recurrence
Goncalves, 2014	29/F	6 months	Sacral giant cell tumor	Coccygectomy	Conservative	None	Good, no recurrence
Kato, 2016	65/F	2 weeks	Nodular rheumatoid arthritis	Etanercept, prednisolone, methotrexate	Conservative	None	Good, no recurrence
Diaz-Aguilar, 2017	23/F		Mature sacral teratoma	Coccygectomy	Conservative	None	Good, no recurrence
Gaike, 2017	20/M	2 years	Benign dermoid cyst	Coccygectomy	Conservative	None	Good, no recurrence
Ngwenya, 2020	77/F	3 years	Nodular rheumatoid arthritis	Coccygectomy	Antibiotics, cyst drainage	None	Good, no recurrence