Large Anterior Lumbar-Sacral Meningocele

An anterior sacral meningocele is a rare form of spinal dysraphism that is sometimes associated with syndromes such as Currarino and Marfan syndromes. These lesions rarely causes neurological complications, but meningitis, sepsis, obstetric problems, and bowel and bladder difficulties are common secondary conditions, surgical treatment is the standard for symptomatic or growing masses as these lesions usually do not regress spontaneously. Anterior or posterior approaches are used to repair the dural defect. We present a case of a 14 yr-old female patient with a giant nonsyndromic anterior sacral meningocele that we successfully treated using an open posterior approach. We discuss the treatment options and present a brief review of the literature.