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Identical lumbar spinal disk pathology in twins (clinical presentation and review of literature)
Jasmeet Singh Dhir1, Rohit Seth, Chris Cheeseman
1Department of Neurosurgery, North Staffordshire Royal Infirmary, Stoke-on-Trent ST4 7LN, UK. jsdhir2000@yahoo.com
Background:
The occurrence of similar pathology in identical twins is well recognized. Spinal pathologies have been suggested to have a genetic predisposition. Degenerative lumbar spinal disease is one of them, with low back pain as one of its common presentations.
Case Description:
We describe a case of monozygotic twins presenting with lumbar disk herniation at same level, that is, L4/L5. Both the twins underwent surgery.
Conclusions:
We believe such a scenario is a rare occurrence and does highlight a probable role of genetic factors, over and above the environmental factors, in lumbar disk pathology.
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