{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T23:53:00Z","timestamp":1788133980620,"version":"build-2803163510"},"reference-count":51,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T00:00:00Z","timestamp":1635120000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T00:00:00Z","timestamp":1635120000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2022,1]]},"DOI":"10.1007\/s00586-021-07041-6","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T11:12:00Z","timestamp":1635160320000},"page":"176-189","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Coccygectomy for refractory coccygodynia: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"31","author":[{"given":"Navraj S.","family":"Sagoo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali S.","family":"Haider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Palmisciano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Vannabouathong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Gonzalez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew L.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhish","family":"Lokesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylan","family":"Larsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravinderjit","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Mulpuri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Rezzadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christie","family":"Caldwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori A.","family":"Tappen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Gill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6966-3270","authenticated-orcid":false,"given":"Shaleen","family":"Vira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,25]]},"reference":[{"issue":"1859","key":"7041_CR1","first-page":"1","volume":"40","author":"J Simpson","year":"1859","unstructured":"Simpson J (1859) Clinical lectures on the diseases of women. Lecture 17 coccydynia and diseases and deformities of the coccyx. Med Times Gaz 40(1859):1\u20137","journal-title":"Med Times Gaz"},{"key":"7041_CR2","doi-asserted-by":"publisher","first-page":"3072","DOI":"10.1097\/00007632-200012010-00015","volume":"25","author":"J-Y Maigne","year":"2000","unstructured":"Maigne J-Y, Doursounian L, Chatellier G (2000) Causes and mechanisms of common coccydynia. Spine (Phila Pa 1976) 25:3072\u20133079. https:\/\/doi.org\/10.1097\/00007632-200012010-00015","journal-title":"Spine (Phila Pa 1976)"},{"key":"7041_CR3","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/0002-9610(50)90202-9","volume":"79","author":"S Schapiro","year":"1950","unstructured":"Schapiro S (1950) Low back and rectal pain from an orthopedic and proctologic viewpoint with a review of 180 cases. Am J Surg 79:117\u2013128. https:\/\/doi.org\/10.1016\/0002-9610(50)90202-9","journal-title":"Am J Surg"},{"key":"7041_CR4","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.2106\/00004623-198365080-00011","volume":"65","author":"F Postacchini","year":"1983","unstructured":"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\u20131124","journal-title":"J Bone Joint Surg Am"},{"key":"7041_CR5","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1097\/00007632-199404150-00011","volume":"19","author":"J-Y Maigne","year":"1994","unstructured":"Maigne J-Y, Guedj S, Straus C (1994) Idiopathic coccygodynia lateral roentgenograms in the sitting position and coccygeal discography. Spine (Phila Pa 1976) 19:930\u2013934. https:\/\/doi.org\/10.1097\/00007632-199404150-00011","journal-title":"Spine (Phila Pa 1976)"},{"key":"7041_CR6","first-page":"84","volume":"14","author":"LS Lirette","year":"2014","unstructured":"Lirette LS, Chaiban G, Tolba R, Eissa H (2014) Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. Ochsner J 14:84\u201387","journal-title":"Ochsner J"},{"key":"7041_CR7","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1007\/BF02633479","volume":"6","author":"GH Thiele","year":"1963","unstructured":"Thiele GH (1963) Coccygodynia. Dis Colon Rectum 6:422\u2013436. https:\/\/doi.org\/10.1007\/BF02633479","journal-title":"Dis Colon Rectum"},{"key":"7041_CR8","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1302\/0301-620X.103B3.BJJ-2020-1045.R2","volume":"103-B","author":"S Milosevic","year":"2021","unstructured":"Milosevic S, Andersen G\u00d8, Jensen MM et al (2021) The efficacy of coccygectomy in patients with persistent coccydynia. Bone Joint J 103-B:542\u2013546. https:\/\/doi.org\/10.1302\/0301-620X.103B3.BJJ-2020-1045.R2","journal-title":"Bone Joint J"},{"key":"7041_CR9","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1007\/s11916-018-0683-7","volume":"22","author":"Y Elkhashab","year":"2018","unstructured":"Elkhashab Y, Ng A (2018) A review of current treatment options for coccygodynia. Curr Pain Headache Rep 22:28. https:\/\/doi.org\/10.1007\/s11916-018-0683-7","journal-title":"Curr Pain Headache Rep"},{"key":"7041_CR10","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1007\/s00586-010-1617-1","volume":"20","author":"EJ Karadimas","year":"2011","unstructured":"Karadimas EJ, Trypsiannis G, Giannoudis PV (2011) Surgical treatment of coccygodynia: an analytic review of the literature. Eur Spine J 20:698\u2013705. https:\/\/doi.org\/10.1007\/s00586-010-1617-1","journal-title":"Eur Spine J"},{"key":"7041_CR11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. https:\/\/doi.org\/10.1136\/bmj.n71","journal-title":"BMJ"},{"key":"7041_CR12","doi-asserted-by":"publisher","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","volume":"25","author":"JCT Fairbank","year":"2000","unstructured":"Fairbank JCT, Pynsent PB (2000) The oswestry disability index. Spine (Phila Pa 1976) 25:2940\u20132953. https:\/\/doi.org\/10.1097\/00007632-200011150-00017","journal-title":"Spine (Phila Pa 1976)"},{"key":"7041_CR13","unstructured":"Jeremy Howick, Iain Chalmers, Paul Glasziou, Trish Greenhalgh, Carl Heneghan, Alessandro Liberati, Ivan Moschetti, Bob Phillips and HT (2011) Explanation of the 2011 Oxford Centre for Evidence-Based Medicine (OCEBM) Levels of Evidence (Background Document). In: Oxford Cent. Evidence-Based Med. https:\/\/www.cebm.ox.ac.uk\/resources\/levels-of-evidence\/ocebm-levels-of-evidence. Accessed 14 Aug 2021"},{"key":"7041_CR14","unstructured":"Joanna Briggs Institute (2020) Checklist for Case Series. https:\/\/jbi.global\/critical-appraisal-tools. Accessed 14 Aug 2021"},{"key":"7041_CR15","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1016\/j.spinee.2010.02.001","volume":"10","author":"EJ Carragee","year":"2010","unstructured":"Carragee EJ, Cheng I (2010) Minimum acceptable outcomes after lumbar spinal fusion. Spine J 10:313\u2013320. https:\/\/doi.org\/10.1016\/j.spinee.2010.02.001","journal-title":"Spine J"},{"key":"7041_CR16","doi-asserted-by":"publisher","first-page":"705","DOI":"10.4184\/asj.2014.8.6.705","volume":"8","author":"A Antoniadis","year":"2014","unstructured":"Antoniadis A, Ulrich NH-B, Senyurt H (2014) Coccygectomy as a surgical option in the treatment of chronic traumatic coccygodynia: a single-center experience and literature review. Asian Spine J 8:705. https:\/\/doi.org\/10.4184\/asj.2014.8.6.705","journal-title":"Asian Spine J"},{"key":"7041_CR17","doi-asserted-by":"publisher","first-page":"1072","DOI":"10.1007\/s00586-020-06627-w","volume":"30","author":"R Hochgatterer","year":"2021","unstructured":"Hochgatterer R, Gahleitner M, Allerstorfer J et al (2021) Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years. Eur Spine J 30:1072\u20131076. https:\/\/doi.org\/10.1007\/s00586-020-06627-w","journal-title":"Eur Spine J"},{"key":"7041_CR18","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/j.spinee.2003.07.011","volume":"4","author":"SD Hodges","year":"2004","unstructured":"Hodges SD, Eck JC, Humphreys SC (2004) A treatment and outcomes analysis of patients with coccydynia. Spine J 4:138\u2013140. https:\/\/doi.org\/10.1016\/j.spinee.2003.07.011","journal-title":"Spine J"},{"key":"7041_CR19","doi-asserted-by":"publisher","first-page":"654","DOI":"10.3171\/2010.12.SPINE10262","volume":"14","author":"EE Kerr","year":"2011","unstructured":"Kerr EE, Benson D, Schrot RJ (2011) Coccygectomy for chronic refractory coccygodynia: clinical case series and literature review. J Neurosurg Spine 14:654\u2013663. https:\/\/doi.org\/10.3171\/2010.12.SPINE10262","journal-title":"J Neurosurg Spine"},{"key":"7041_CR20","doi-asserted-by":"publisher","first-page":"1214","DOI":"10.1097\/BRS.0000000000002053","volume":"42","author":"JP Kleimeyer","year":"2017","unstructured":"Kleimeyer JP, Wood KB, L\u00f8nne G et al (2017) Surgery for refractory coccygodynia. Spine (Phila Pa 1976) 42:1214\u20131219. https:\/\/doi.org\/10.1097\/BRS.0000000000002053","journal-title":"Spine (Phila Pa 1976)"},{"key":"7041_CR21","doi-asserted-by":"publisher","first-page":"802","DOI":"10.1177\/2192568219831963","volume":"9","author":"AG Kulkarni","year":"2019","unstructured":"Kulkarni AG, Tapashetti S, Tambwekar VS (2019) Outcomes of coccygectomy using the \u201cZ\u201d plasty technique of wound closure. Glob Spine J 9:802\u2013806. https:\/\/doi.org\/10.1177\/2192568219831963","journal-title":"Glob Spine J"},{"key":"7041_CR22","doi-asserted-by":"publisher","first-page":"881","DOI":"10.2147\/JPR.S129198","volume":"10","author":"HU Ogur","year":"2017","unstructured":"Ogur HU, Seyfettino\u011flu F, \u00dcmit Tuhanio\u011flu \u00dc et al (2017) An evaluation of two different methods of coccygectomy in patients with traumatic coccydynia. J Pain Res 10:881\u2013886. https:\/\/doi.org\/10.2147\/JPR.S129198","journal-title":"J Pain Res"},{"key":"7041_CR23","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1097\/00024720-200302000-00016","volume":"16","author":"R Perkins","year":"2003","unstructured":"Perkins R, Schofferman J, Reynolds J (2003) Coccygectomy for severe refractory sacrococcygeal joint pain. J Spinal Disord Tech 16:100\u2013103. https:\/\/doi.org\/10.1097\/00024720-200302000-00016","journal-title":"J Spinal Disord Tech"},{"key":"7041_CR24","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1007\/s00586-013-3010-3","volume":"22","author":"A Ramieri","year":"2013","unstructured":"Ramieri A, Domenicucci M, Cellocco P et al (2013) Acute traumatic instability of the coccyx: results in 28 consecutive coccygectomies. Eur Spine J 22:939\u2013944. https:\/\/doi.org\/10.1007\/s00586-013-3010-3","journal-title":"Eur Spine J"},{"key":"7041_CR25","doi-asserted-by":"publisher","first-page":"277","DOI":"10.4103\/1793-5482.228568","volume":"13","author":"A Sarmast","year":"2018","unstructured":"Sarmast A, Kirmani A, Bhat A (2018) Coccygectomy for coccygodynia: A single center experience over 5 years. Asian J Neurosurg 13:277. https:\/\/doi.org\/10.4103\/1793-5482.228568","journal-title":"Asian J Neurosurg"},{"key":"7041_CR26","doi-asserted-by":"publisher","DOI":"10.1016\/j.inat.2020.100735","volume":"21","author":"AY Soliman","year":"2020","unstructured":"Soliman AY, Abou El-Nagaa BF (2020) Coccygectomy for refractory coccydynia: A single-center experience. Interdiscip Neurosurg 21:100735. https:\/\/doi.org\/10.1016\/j.inat.2020.100735","journal-title":"Interdiscip Neurosurg"},{"key":"7041_CR27","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s00264-009-0805-2","volume":"34","author":"S Bilgic","year":"2010","unstructured":"Bilgic S, Kurklu M, Yurtta\u015f Y et al (2010) Coccygectomy with or without periosteal resection. Int Orthop 34:537\u2013541. https:\/\/doi.org\/10.1007\/s00264-009-0805-2","journal-title":"Int Orthop"},{"key":"7041_CR28","doi-asserted-by":"crossref","unstructured":"Mulpuri N, Reddy N, Larsen K, et al (2021) Clinical outcomes of coccygectomy for coccydynia: a single institution series with mean 5-year follow-up. Int J Spine Surg","DOI":"10.14444\/8171"},{"key":"7041_CR29","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1016\/j.injury.2007.01.022","volume":"38","author":"O Cebesoy","year":"2007","unstructured":"Cebesoy O, Guclu B, Kose KC et al (2007) Coccygectomy for coccygodynia: Do we really have to wait? Injury 38:1183\u20131188. https:\/\/doi.org\/10.1016\/j.injury.2007.01.022","journal-title":"Injury"},{"key":"7041_CR30","doi-asserted-by":"publisher","first-page":"1102","DOI":"10.1007\/s00586-014-3753-5","volume":"24","author":"L Doursounian","year":"2015","unstructured":"Doursounian L, Maigne J-Y, Jacquot F (2015) Coccygectomy for coccygeal spicule: a study of 33 cases. Eur Spine J 24:1102\u20131108. https:\/\/doi.org\/10.1007\/s00586-014-3753-5","journal-title":"Eur Spine J"},{"key":"7041_CR31","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1097\/BCO.0000000000000536","volume":"28","author":"AA El Mohsen","year":"2017","unstructured":"El Mohsen AA, El Rady MA, Zayan M, Kotb A (2017) Coccygectomy for posttraumatic coccygodynia: a long-term prospective study. Curr Orthop Pract 28:484\u2013488. https:\/\/doi.org\/10.1097\/BCO.0000000000000536","journal-title":"Curr Orthop Pract"},{"key":"7041_CR32","doi-asserted-by":"publisher","DOI":"10.1016\/j.inat.2020.100974","volume":"23","author":"A Younus","year":"2021","unstructured":"Younus A, Kelly A (2021) Is a coccydectomy an efficacious surgical treatment for debilitating coccygeal pain? Interdiscip Neurosurg 23:100974. https:\/\/doi.org\/10.1016\/j.inat.2020.100974","journal-title":"Interdiscip Neurosurg"},{"key":"7041_CR33","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1007\/s00590-009-0442-x","volume":"19","author":"L G\u00e1sp\u00e1r","year":"2009","unstructured":"G\u00e1sp\u00e1r L, J\u00f3n\u00e1s Z, Kiss L et al (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\u201318 years. Eur J Orthop Surg Traumatol 19:403\u2013407. https:\/\/doi.org\/10.1007\/s00590-009-0442-x","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"7041_CR34","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1308\/003588414X13814021676675","volume":"96","author":"B Haddad","year":"2014","unstructured":"Haddad B, Prasad V, Khan W et al (2014) Favourable outcomes of coccygectomy for refractory coccygodynia. Ann R Coll Surg Engl 96:136\u2013139. https:\/\/doi.org\/10.1308\/003588414X13814021676675","journal-title":"Ann R Coll Surg Engl"},{"key":"7041_CR35","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1302\/0301-620X.98B4.36641","volume":"98-B","author":"EN Hanley","year":"2016","unstructured":"Hanley EN, Ode G, Jackson Iii BJ, Seymour R (2016) Coccygectomy for patients with chronic coccydynia: a prospective, observational study of 98 patients. Bone Joint J 98-B:526\u2013533. https:\/\/doi.org\/10.1302\/0301-620X.98B4.36641","journal-title":"Bone Joint J"},{"key":"7041_CR36","unstructured":"Key JA Operative treatment of coccygodynia. J Bone Jt Surg"},{"key":"7041_CR37","doi-asserted-by":"publisher","DOI":"10.5137\/1019-5149.JTN.9505-13.0","author":"S Dalbayrak","year":"2014","unstructured":"Dalbayrak S, Yaman O, Yilmaz T, Yilmaz M (2014) Treatment principles for coccygodynia. Turk Neurosurg. https:\/\/doi.org\/10.5137\/1019-5149.JTN.9505-13.0","journal-title":"Turk Neurosurg"},{"key":"7041_CR38","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1016\/j.pmr.2017.03.006","volume":"28","author":"PM Foye","year":"2017","unstructured":"Foye PM (2017) Coccydynia. Phys Med Rehabil Clin N Am 28:539\u2013549. https:\/\/doi.org\/10.1016\/j.pmr.2017.03.006","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"7041_CR39","doi-asserted-by":"publisher","first-page":"90","DOI":"10.4103\/joacp.JOACP_588_20","volume":"37","author":"N Malhotra","year":"2021","unstructured":"Malhotra N, Goyal S, Kumar A et al (2021) Comparative evaluation of transsacrococcygeal and transcoccygeal approach of ganglion impar block for management of coccygodynia. J Anaesthesiol Clin Pharmacol 37:90. https:\/\/doi.org\/10.4103\/joacp.JOACP_588_20","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"7041_CR40","doi-asserted-by":"publisher","first-page":"49","DOI":"10.5435\/00124635-200401000-00007","volume":"12","author":"GR Fogel","year":"2004","unstructured":"Fogel GR, Cunningham PY, Esses SI (2004) Coccygodynia: Evaluation and Management. J Am Acad Orthop Surg 12:49\u201354. https:\/\/doi.org\/10.5435\/00124635-200401000-00007","journal-title":"J Am Acad Orthop Surg"},{"key":"7041_CR41","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1302\/0301-620X.73B2.2005168","volume":"73-B","author":"C Wray","year":"1991","unstructured":"Wray C, Easom S, Hoskinson J (1991) Coccydynia. Aetiology and treatment. J Bone Joint Surg Br 73-B:335\u2013338. https:\/\/doi.org\/10.1302\/0301-620X.73B2.2005168","journal-title":"J Bone Joint Surg Br"},{"key":"7041_CR42","doi-asserted-by":"publisher","first-page":"2433","DOI":"10.1001\/archinte.163.20.2433","volume":"163","author":"MJ Bair","year":"2003","unstructured":"Bair MJ, Robinson RL, Katon W, Kroenke K (2003) Depression and pain comorbidity. Arch Intern Med 163:2433. https:\/\/doi.org\/10.1001\/archinte.163.20.2433","journal-title":"Arch Intern Med"},{"key":"7041_CR43","doi-asserted-by":"publisher","first-page":"800","DOI":"10.1302\/0301-620X.101B7.BJJ-2018-1309.R1","volume":"101-B","author":"SN Hampton","year":"2019","unstructured":"Hampton SN, Nakonezny PA, Richard HM, Wells JE (2019) Pain catastrophizing, anxiety, and depression in hip pathology. Bone Joint J 101-B:800\u2013807. https:\/\/doi.org\/10.1302\/0301-620X.101B7.BJJ-2018-1309.R1","journal-title":"Bone Joint J"},{"key":"7041_CR44","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0180788","volume":"12","author":"PWM Marshall","year":"2017","unstructured":"Marshall PWM, Schabrun S, Knox MF (2017) Physical activity and the mediating effect of fear, depression, anxiety, and catastrophizing on pain related disability in people with chronic low back pain. PLoS ONE 12:e0180788. https:\/\/doi.org\/10.1371\/journal.pone.0180788","journal-title":"PLoS ONE"},{"key":"7041_CR45","unstructured":"Mabrouk A, Alloush A, Foye P (2021) Coccyx Pain"},{"key":"7041_CR46","doi-asserted-by":"publisher","first-page":"2942","DOI":"10.1097\/01.brs.0000248429.10963.13","volume":"31","author":"E Carragee","year":"2006","unstructured":"Carragee E, Alamin T, Cheng I et al (2006) Does Minor Trauma Cause Serious Low Back Illness? Spine (Phila Pa 1976) 31:2942\u20132949. https:\/\/doi.org\/10.1097\/01.brs.0000248429.10963.13","journal-title":"Spine (Phila Pa 1976)"},{"key":"7041_CR47","doi-asserted-by":"publisher","first-page":"326","DOI":"10.14245\/kjs.2012.9.4.326","volume":"9","author":"HD Kwon","year":"2012","unstructured":"Kwon HD, Schrot RJ, Kerr EE, Kim KD (2012) Coccygodynia and coccygectomy. Korean J Spine 9:326. https:\/\/doi.org\/10.14245\/kjs.2012.9.4.326","journal-title":"Korean J Spine"},{"key":"7041_CR48","doi-asserted-by":"publisher","first-page":"195","DOI":"10.2146\/ajhp120568","volume":"70","author":"DW Bratzler","year":"2013","unstructured":"Bratzler DW, Dellinger EP, Olsen KM et al (2013) Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Heal Pharm 70:195\u2013283. https:\/\/doi.org\/10.2146\/ajhp120568","journal-title":"Am J Heal Pharm"},{"key":"7041_CR49","doi-asserted-by":"publisher","first-page":"S69","DOI":"10.1097\/BRS.0b013e31822ef6de","volume":"36","author":"J DeVine","year":"2011","unstructured":"DeVine J, Norvell DC, Ecker E et al (2011) Evaluating the correlation and responsiveness of patient-reported pain with function and quality-of-life outcomes after spine surgery. Spine (Phila Pa 1976) 36:S69\u2013S74. https:\/\/doi.org\/10.1097\/BRS.0b013e31822ef6de","journal-title":"Spine (Phila Pa 1976)"},{"key":"7041_CR50","doi-asserted-by":"publisher","first-page":"267","DOI":"10.25259\/SNI_504_2021","volume":"12","author":"M Passanisi","year":"2021","unstructured":"Passanisi M, Scalia G, Palmisciano P et al (2021) Difficulty differentiating between a posterior extradural lumbar tumor versus sequestered disc even with gadolinum-enhanced MRI. Surg Neurol Int 12:267. https:\/\/doi.org\/10.25259\/SNI_504_2021","journal-title":"Surg Neurol Int"},{"key":"7041_CR51","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.1148\/rg.2020190132","volume":"40","author":"MR Skalski","year":"2020","unstructured":"Skalski MR, Matcuk GR, Patel DB et al (2020) Imaging coccygeal trauma and coccydynia. Radiographics 40:1090\u20131106. https:\/\/doi.org\/10.1148\/rg.2020190132","journal-title":"Radiographics"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-021-07041-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00586-021-07041-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-021-07041-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T17:19:48Z","timestamp":1673630388000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00586-021-07041-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,25]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["7041"],"URL":"https:\/\/doi.org\/10.1007\/s00586-021-07041-6","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,25]]},"assertion":[{"value":"11 September 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 September 2021","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 October 2021","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 October 2021","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}