Evidence map›Paper›PMID 34875185›Full record

ArticleGlobal spine journal2023

Clinical Outcome of Coccygectomy Using a Paramedian Curvilinear Skin Incision in Adults and Children With Meta-Analysis of the Literature Focusing on Postoperative Wound Infection.

Satish Nagappa, Zeiad Alshameeri, Mohammad Elmajee, Yousuf Hashmi, Ajay Bowry, Morgan Jones, Jonathan Spilsbury

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Comparison of Midline and Paramedian Approaches in Coccygectomy.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Satish NagappaDepartment of Spine Surgery, The Royal Orthopaedic Hospital, Birmingham, UK.ORCID 0000-0002-9103-4956
Zeiad AlshameeriDepartment of Spine Surgery, The Royal Orthopaedic Hospital, Birmingham, UK.ORCID 0000-0003-3135-5501
Mohammad ElmajeeDepartment of Spine Surgery, The Royal Orthopaedic Hospital, Birmingham, UK.
Yousuf HashmiCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-0847-4898
Ajay BowryCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Morgan JonesDepartment of Spine Surgery, The Royal Orthopaedic Hospital, Birmingham, UK.
Jonathan SpilsburyDepartment of Spine Surgery, The Royal Orthopaedic Hospital, Birmingham, UK.
Royal Orthopaedic Hospital · GBUniversity of Birmingham · GBRoyal Stoke University Hospital · GBSandwell & West Birmingham Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA single surgeon case series and

objectiveTo evaluate the clinical outcome and patient satisfaction following coccygectomy for coccygodynia in adults and children using a curvilinear paramedian skin incision and to conduct a meta-analysis of the literature to determine the associated infection rate with different surgical factors.

methods45 consecutive patients (40 adults and 5 children) underwent surgical coccygectomy for persistent coccygodynia symptoms using a paramedian curvilinear incision. Postoperative clinical outcome scores, patients' satisfaction and wound complications were assessed. A systematic literature search using specific MesH terms was then conducted covering the period from 1980 to 2020. Only those studies reporting infection rates post coccygectomy were included in a meta-analysis.

resultsThe average age of patients was 39 years with a mean duration of symptoms prior to surgery of 7.4 years. The mean Oswestry Disability Index improved from 29 to 7.7 (

conclusionsCoccygectomy using curvilinear paramedian skin incision for chronic coccygodynia is an effective procedure with similar or lower complication rates as reported in the literature.

Indexed as

clinical outcomecoccygectomycoccygodyniaparamedian skin incisionwound complications

Identifiers

PMID34875185
PMCPMC10556909
OpenAlexW4200101089

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.