Spinal dysraphism (Spina bifida) involves a spectrum of congenital anomalies represented as a defective neural arch through which meninges or neural elements are herniated, leading to a variety of clinical manifestations. They comprised of open and occult types. Spina bifida manifesta or (open type) is usually when there is a visible lesion associated with skin defect with an impending risk of CSF leak. In Spina bifida occults (occult type), there is normal skin coverings. Meningocele, myelomeningocele, lipomeningomyelocele, myeloschisis and rachischisis are the usual names associated depending on the pathological findings. Meningocele involves only the meninges with no neural involvement; others have variable extent of neural involvement. The majority of cases are classified as Myelomeningocele, in which the spinal cord herniats through the spinal column, resulting in nerve damage and physical disabilities including lower limb paralysis and distured bladder or bowel function