The Neuro-cranio-vertebral Syndrome and Coccygeal Dislocation: A Preliminary Study.

Published by ICSEB at 22 December, 2023

We have the honor to announce that the journal World Neurosurgery: X, from Elsevier, has just published the latest article by Royo-Salvador et al., presenting their findings on the relationship between the Neuro-cranio-vertebral syndrome (NCVS) and anterior coccygeal dislocation: “Neuro-cranio-vertebral syndrome related to coccygeal dislocation: A preliminary study.“

“Neuro-cranio-vertebral syndrome (NCVS) includes a set of idiopathic diseases: Arnold-Chiari syndrome type 0,1 and 1.5, idiopathic scoliosis, and idiopathic syringomyelia. It is caused by the pathological traction transmitted by the filum terminale on the neuraxis” Considering that the latter inserts at the coccygeal level, Dr. Royo and his team of neurosurgeons have observed for years in a significant number of cases with this diagnosis that “the alteration of this anatomical segment, such as anterior coccygeal dislocation, can increase the tension exerted by the filum terminale throughout the Central Nervous System.”

The study’s conclusions affirm that “The high clinical and radiological prevalence of coccygeal dislocation in patients with Neuro-cranio-vertebral syndrome suggests an association between them. The mechanism involved in coccygeal dislocation can directly influence the development of Neuro-cranio-vertebral syndrome.”

Typically, the recommended treatment in most traumatology and orthopaedic services in the case of coccygeal dislocation is conservative (advising not to bear weight on the coccyx, avoiding or reducing sitting, using cushions or devices that reduce the load while sitting, etc.). Unfortunately, the possibility of NCVS formation is often overlooked, leading to a lack of diagnosis and a satisfactory solution for patients whose quality of life may be affected.

At ICSEB, after years of clinical observation and care for these cases, we propose a minimally invasive surgical treatment using the Filum System^® method to eliminate the traction of the Filum Terminale caused or increased by coccygeal dislocation – as a primary or added traumatic factor in NCVS – with excellent results.

On the occasion of this new scientific publication, we congratulate Dr. M. B. Royo-Salvador, Dr. M. Fiallos, P. Villavicencio, and the entire R&D department of ICSEB for their research work that continues to deepen our understanding of the Filum Disease!

For more information on the treatment of NCVS with sacro-coccygeal dislocation, you can visit:

https://institutchiaribcn.com/en/neuro-cranio-vertebral-syndrome-due-sacrococcygeal-dislocation/