Congenital sacral spina bifida is a relatively common clinical condition, and how it is treated depends on the patient’s symptoms. If the patient is in adolescence and has no other symptoms, such as frequent urination, urgent urination, painful urination, fecal dysfunction and a series of other symptoms, no treatment is needed and close observation is required. If the above symptoms appear, surgical treatment is required. During surgery, fusion and fixation of the sacral fissure is performed to avoid the exposure of the nerve roots, while methylcobalamin can be given for nerve nutrition treatment. Such a disease can be corrected by surgery, and if the patient has a heavy sacral fissure, reconstruction surgery of the sacral fissure is needed to avoid damage to the nerve roots.