Spina bifida, spina bifida, spinal cord spondylolisthesis, and spinal cord embolism are congenital malformations of the neural tube. Spina bifida itself does not require treatment, but mainly the treatment of neurosurgical disorders such as spina bifida, spinal cord spondylolisthesis, spinal cord embolism, spinal cord adhesions, and spinal cord longitudinal bifida. Surgery should be done by a pediatric neurosurgeon with experience in spinal cord surgery and micro-neurosurgery to improve outcomes and reduce complications such as spinal cord injury, and the earlier the surgery, the better the results, once the nerve damage will be difficult to recover from. Professor Ma Yunfu said: some children have been operated before, but only the large bag of the lumbosacral region (i.e., bulging spinal sac and lipoma) was removed without dealing with the spinal cord lesions in the spinal canal, which is actually equivalent to the “cosmetic” surgery of the lumbosacral region, resulting in ineffectiveness or aggravation; some doctors removed the large bag of the lumbosacral region at the same time to Some doctors have damaged the cauda equina nerve while removing the large lumbosacral pouch, resulting in lifelong pain due to the patient’s incontinence or poor function of the lower limbs, and some doctors even think that the disease is untreatable and passively wait for its development, which is a tragic lesson. In our surgery cases, the youngest child was just born, and the surgery under microscope and nerve evoked potential electrical stimulation greatly avoided the nerve damage and allowed the patient to recover with remarkable efficacy.