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KMID : 0363119920050010117
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Korean Journal of Pain
1992 Volume.5 No. 1 p.117 ~ p.120
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Bilateral Avascular Necrosis of the Femoral Head After Epidural Steroid Injection for the Management of Low Back Pain
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김동진
노선주/반종석/민병우
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Abstract
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Non traumatic aseptic necrosis of the head of the femur is well documented with respect to its clinical roentgeographic and pathological aspect, but not with respect to etiology. A number of reports have associated various diseases and conditions
with
necrosis of the femoral head. Prominent among these are alcoholism, steroid therapy and hemostatic disorder. The increased incidence of avascular necrosis of bone associated with long-term corticosteroid therapy has aroused much interest. The
pathogenesis of cortisone-induced avacular necrosis is as yet unproved. but cortisone-induced fatty liver with hyperlipidemia, leading to systemic embolization of fat and avascular necrosis of bone has much experimental support.
We present a case of bilateral avascular necrosis of the femur head following several epidural steroid injections in a 30 year old male patient who had low back pain with radiation to both legs for 1 year and who had Cushinoid appearance for
several
months.
One week later, he had a total replacement of both hip operation.
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KEYWORD
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