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The procedure was performed in a prone position, a sacral laminectomy was executed, after exposure of the dural sac, we note that the dura was so thin that it kept tearing continuously, however we proceed with the dissection in order to achieve the greatest possible exposure of the defect, after complete dural exposure the anterior sacral defect lean out, subsequently we pursue with the ligation of the neck, both an anterior and posterior dural patch was placed in order to prevent further leaks of CSF.   The patient remained in bed rest for about 5 days, the lumbar drain remain open for 2 days. She was mobilized on day 3 and noted to be full strength on motor examination, with no bowel or bladder problems. With further improvement of the symptomatology, she remained hospitalized for 7 days and was discharged without any complications. After 3 months post surgery an MRI (Figure \ref{fig:FIGURE_2}) was made, revealing complete remission closure  of the anterior sacral meningocele and the with no  compression of the pelvic structures. Although the abdomino-pelvic symptoms disappear, the lumbar pain remained with lower intensity probably caused by the severe scoliosis that the patient had.