en تخصصي Special گزارش مورد case report Accessory lower limb with spinal dysraphism are amongst the rarest known anomalies. We successfully managed a 5-months old female infant with surgical ablation of the accessory lower limb and repair of the associated large lipomyelomeningocele. A comprehensive review of the relevant literature was undertaken and presented herein. A classification system for accessory lower limb is also proposed. Accessory lower limb, Spinal dysraphism, Lipomyelomeningocele, Spina bifida 73 81 http://wjps.ir/browse.php?a_code=A-10-53-14&slc_lang=en&sid=1 Muhammad Saaiq muhammadsaaiq5@gmail.com 10031947532846007681 10031947532846007681 Yes Assistant Professor and Chairman, Department of Plastic surgery and Burns, National Institute of Rehabilitation Medicine (NIRM), Street No.9, G-8/2, Islamabad 44000, Pakistan. Phone No. +923355411583 Faridullah Khan Zimri bushraashraf205@gmail.com 10031947532846007682 10031947532846007682 No National Institute of Rehabilitation Medicine (NIRM), Street No.9, G-8/2, Islamabad, Pakistan. Khaleeq-uz- Zaman muhammadsaaiq786@gmail.com 10031947532846007683 10031947532846007683 No National Institute of Rehabilitation Medicine (NIRM), Street No.9, G-8/2, Islamabad, Pakistan.