Coccygectomy as a Surgical Option in the Treatment of Chronic Traumatic Coccygodynia.

Dear editor,

We recently read the interesting article entitled "Coccygectomy as a surgical option in the treatment of chronic traumatic coccygodynia: a single-center experience and literature review" by Antoniadis et al. [1] which touches on an underrated topic in neurosurgical practice.

Periosteal preservation and closure during the coccygectomy procedure have been found to be related to a low risk of infection [2]. Although Antoniadis et al. did not mention this in their case series, the information should be presented in a literature review.

Additionally, some other treatment options, such as caudal epidural pulsed radiofrequency treatment, have been found to be efficient after unsuccessful non-surgical and surgical treatment modalities in the treatment of coccygodynia and should also be mentioned in the article. Atim et al. [3] achieved excellent and good results in 81% of cases treated with caudal epidural pulsed radiofrequency.

We expect that these small additions will increase the value of Antoniadis' article.