title: Symptomatic Unilateral Spondylolysis Associated With Nonspondylolytic Lateral Clefts in Adults: Review of an Infrequently Reported Pathology.
abstract: Nonspondylolytic lateral clefts of the lumbar neural arch (laminolysis and pediculolysis) are rare pathologies that usually occur consequent to repetitive stress injuries in patients with unilateral spondylolysis. These lesions are different from the usual bilateral spondylolytic defects, and their management depends upon the chronicity and the type of bony defect. We hereby discuss the verdict of current literature on underlying pathomechanics and ideal management guidelines of these rare lesions.
authors.affiliation: Neurosurgery, Ohio State University Medical Center.
authors.forename: Vibhu Krishnan
authors.initials: VK
authors.lastname: Viswanathan
authors.affiliation: Orthopaedic Surgery, UAB School of Medicine.
authors.forename: Sakthivel Rajan
authors.initials: SR
authors.lastname: Rajaram Manoharan
authors.affiliation: Radiology, Government Medical College, Nagpur.
authors.forename: Surabhi
authors.initials: S
authors.lastname: Subramanian
keywords: laminolysis; pediculolysis; spondylolysis