Identical lumbar spinal disk pathology in twins (clinical presentation and review of literature).
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.


METHODS
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.
Dhir
Jasmeet Singh
JS
Department of Neurosurgery, North Staffordshire Royal Infirmary, Stoke-on-Trent ST4 7LN, UK. jsdhir2000@yahoo.com
Seth
Rohit
R
Cheeseman
Chris
C
Singh
Jagmohan
J
D000328:Adult; D004200:Diseases in Twins; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008159:Lumbar Vertebrae; D014430:Twins, Monozygotic