1. Spinal cord embolism syndrome is a separate condition. Spinal cord embolism is a form of pathology present in congenital spina bifida and is the most common pathologic mechanism leading to associated neurologic damage. It is rare to see spinal cord embolism without spina bifida, so spinal cord embolism syndrome is part of congenital spina bifida. In addition to spinal cord embolism, other forms of spina bifida often coexist, such as lipoma and thickening of the terminal filaments. Adequate preoperative knowledge of the characteristics of all coexisting pathologies is essential to ensure successful surgery. 2. The child can urinate even if the urinary function is normal. The basic function of the bladder is to store and expel urine, which is an extremely complex physiological process. Normal urination is a process in which the bladder can be completely emptied at a certain rate without force and can be controlled at will. The ability to pass urine does not necessarily mean that the bladder is functioning normally, but attention should be paid to the volume of urine each time, the number of times per day and the interval between urination, whether there is leakage between urination, the force of urination and whether the urine can be drained. Inexperienced parents usually cannot detect abnormalities that are not serious, and clinicians need to rely on certain test results to determine if they are normal and which part of the structure or its innervation is damaged. 3. Spina bifida surgery requires only the removal of the lumbosacral mass. In contrast, the lumbosacral mass is likely to be an insignificant external manifestation, but what is important is that it suggests that there may be a series of intrinsic pathological changes that affect neurological function, so when the lumbosacral mass is found, further examination should be done to clarify its intrinsic condition, and if there are conditions that cause or may cause neurological dysfunction in the future, try to solve these intrinsic pathological changes and external masses in one stage of surgery. 4, Surgery can cure spinal cord embolism syndrome. Surgery may completely cure spinal cord embolism syndrome only if there are no obvious symptoms or only reversible mild symptoms, but even then, a longer review is needed to ensure that the surgery is a permanent solution to the problem. In most patients with significant bowel and lower extremity dysfunction, even if the surgery is successful, the dysfunction is unlikely to return to full normal and may require lifelong close observation to prevent renal damage and other dysfunctions from developing again. 5, spinal cord embolism syndrome and spina bifida surgical treatment after the treatment is complete. Spondylolisthesis and spina bifida are multidisciplinary diseases that require neurosurgery, urology, and even orthopedics and rehabilitation, and such treatment is likely to require lifelong follow-up.