Urinary loss in 10 year old with occult spina bifida is usually not self-healing. Many patients with spina bifida suffer from urinary loss, fecal incontinence, and bilateral lower limb dysfunction. If these patients do not actively cooperate with the doctor to receive surgical treatment, they usually cannot be cured by themselves. If the patient belongs to the floating spine type, the simple floating spine resection cannot be performed easily, and the ligamentum flavum needs to be cut and flipped to both sides at the same time of cutting the floating spine; if it is the kissing spine type, the amputation of the tip of the spine can be considered. Parents are advised to bring their children to the spinal surgery department of the hospital as soon as possible. The severity of the patient’s condition can be clarified by perfecting spinal X-ray, CT, MAI and other related examinations. The clinician will formulate a reasonable treatment plan based on the specific situation of each patient.