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Due to these symptoms and the presence of a growing mass a new surgical procedura consisting in a posterior sacral laminectomy and ligation of the meningocele cyst was proposed. The patien was very unkeen in further surgery, particulary after the results of the previous ones, however, she was so ill that she accepted surgery.   The procedure was performed in a prone potition position, the sacral laminectomy was performed, the dura was so thin that it kept tearing continuosly, after complete dural exposure the anterior sacral defect lean out