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Surgery The procedure  was performed in a prone position. Following position, a  sacral laminectomy, dural sac laminectomy  was exposed. The executed, after exposure of the dural sac, we note that the  dura was so thin that it kept tearing continuously. The dura was finally opened and We proceeded with the dissection intraduraly in order to achieve the greatest possible  exposure of the anterior sacral defect. After complete intradural exposure the anterior sacral  defect was achieved. Once lean out, subsequently  we had control of introduce  theASM neck, low  suctionwas introduced  into the defect, and once we were certain that there was no nerve root on it, the suction pressure allowed us to pull up  the anterior wall of the pseudomeningocele was pulled up. Then and then we pursued with the  ligation of the neck was performed. neck.  The intradural procedure ended by placing an anterior and posterior dural patch in order to prevent CSF fitula. A lumbar drain was left in place. placed for similar reasons.  The patient remained was kept  in flat  bed rest forabout  5 days, the lumbar drain remain open for 2 days. days and removed.  She was mobilized on day 3 5  and noted to be have  full strength on motor examination, with no examination. No  bowel or bladder problems. With disturbances were detected. Following  further improvementof the symptomatology,  she remained hospitalized for 7 days and was discharged without any with no  complications. A 3 months post surgery MRI (Figure \ref{fig:FIGURE_2}) was made, revealing complete closure of the anterior sacral meningocele ASM  with no compression of the on  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.