Background: Spinal dysraphism is common congenital cause of disability in children encountered by pediatric neurosurgeon and is a significant public health problem. Open type spina bifida is more common than closed one. Though most of these cases are diagnosed at birth or at an early infancy, some may be discovered in older children or in adults. Aim & Objective: Our aim is to study the incidence, clinical presentations, and surgical outcome in spinal dysraphism patients. Clinically patients are assessed on the basis of history, presenting symptoms and neurological examination