Prague Med. Rep. 2015, 116, 219-224

https://doi.org/10.14712/23362936.2015.61

Does Sacrococcygeal Angle Play a Role on Pilonidal Sinus Etiology?

Ramazan Eryilmaz1, Arda Isik2, Ismail Okan3, Tuna Bilecik4, Ensar Yekeler5, Mustafa Sahin3

1Department of General Surgery, Faculty of Medicine, Akdeniz University, Antalya, Turkey
2Department of General Surgery, Faculty of Medicine, Erzincan University, Erzincan, Turkey
3Department of General Surgery, Faculty of Medicine, Gaziosmanpasa University, Tokat, Turkey
4General Surgery Clinic, Sinop State Hospital, Sinop, Turkey
5Department of Radiology, Faculty of Medicine, Istanbul University, Istanbul, Turkey

Received June 4, 2015
Accepted September 16, 2015

The predisposing factors for the development of sacrococcygeal pilonidal disease (SPD) still remain undetermined. Here, we investigate the sacrococcygeal angle as a possible predisposing factor for the development of disease. Consecutive male patients admitted to our clinic with the diagnosis of SPD were included. Sex, age and BMI matched healthy controls without SPD were enrolled to the study. The predefined sacrococcygeal angles of patients and controls were measured on lateral pelvic radiographs by a single experienced radiologist. Thirty patients were included in each group. Sacrococcygeal angles of patients and control group were measured as 37.3 ± 14.5 and 36.81 ± 10.23 in patients and controls, respectively. The difference with respect to sacrococcygeal angle was not statistically significant between two groups. Sacrococcygeal angle which is the main skeletal determinant of intergluteal sulcus is not a predisposing factor for the development of sacrococcygeal pilonidal disease.

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