Four cases of coccygeal disk calcification after cortivazol injection.
Chronic coccydynia can be treated with a glucocorticoid injection into the pain-causing intercoccygeal disk. We report four cases of calcifications within intercoccygeal disks previously injected with cortivazol. In two patients, the calcifications probably caused additional pain. Prednisolone acetate should be preferred over cortivazol for intercoccygeal disk injections.
Maigne
Jean-Yves
JY
Service de médecine physique, CHU Hôtel-Dieu, 75181 Paris cedex 04, France. jy.maigne@htd.aphp
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D002114:Calcinosis / Q000139:chemically induced* / Q000473:pathology / Q000628:therapy; D003050:Coccyx / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007278:Injections, Spinal / Q000009:adverse effects; D007403:Intervertebral Disc / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000031:analogs & derivatives / Q000627:therapeutic use; D011281:Pregnatrienes / Q000009:adverse effects*; D011859:Radiography; D013122:Spinal Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*
D000893:Anti-Inflammatory Agents; D011281:Pregnatrienes; C009935:prednisolone acetate; D011239:Prednisolone; C005924:cortivazol