Cryptogenic spina bifida does not always result in clinical symptoms that really need to be managed, and many patients usually have no obvious signs or symptoms and require imaging to confirm the diagnosis of cryptogenic spina bifida. X-rays, for example, can be used to detect spinal fissures and can confirm the diagnosis of spina bifida, usually showing widening of the vertebral arches, lamina defects, spinal synostosis, sometimes multiple spina bifida, or a combination of vertebral deformities and scoliosis. A detailed urological examination (ultrasound, urodynamics, urinary diary, etc.) is usually required to confirm whether a spinal deformity is affecting the urinary function.