1. How can I identify the type of manifest spina bifida? Dominant spina bifida includes spondylolisthesis, spinal cord spondylolisthesis with lipoma, and spinal cord exstrophy. Some of these types can be identified externally, but most require an MRI to see the mass and the inside of the spinal canal. 2. Is dominant spina bifida difficult to treat? Because of the abnormal location of the spinal cord in most cases, and the fact that it grows together with the lipoma, it is very difficult to separate it from the surgery. 3. How should I be followed up for the operation of dominant spina bifida? Is it a one-time cure? Follow-up after surgery for spina bifida is a very important issue, and you should not assume that a successful surgery will eliminate the need for follow-up. As the child grows up, the spinal canal grows faster than the spinal cord, so there is a chance that the spinal canal may re-embolize during the growth process. For dominant spina bifida after surgery, I recommend that follow-up is usually required until age 18. 4. What happens if symptoms worsen after surgery for dominant spina bifida during follow-up? If the symptoms of spina bifida become worse during the follow-up period after surgery, it is possible that the spinal cord has become embolized again, and this requires an examination to assess the status of the spinal cord, and if the MRI clearly shows that the spinal cord is being stretched, then another surgery should be performed to release the spinal cord embolism. 5.What if my spina bifida is still severe after surgery? It is true that if the symptoms are not relieved after surgery and are still severe, this is a very difficult situation. One is that the first surgery was not done properly, in which case a second surgery can be considered. In another case, the first surgery was done excessively, that is, the surgery caused damage to the spinal cord and nerves, in which case there is little possibility of recovery. In the third case, the surgery is done well, but the original condition is very serious, and the spinal cord nerve damage cannot recover by itself, then for this case is also very difficult, is trying to carry out neural stem cell transplantation for treatment, but only a few successful cases are reported.