{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T12:01:24Z","timestamp":1777982484310,"version":"3.51.4"},"reference-count":69,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"DOI":"10.1007\/s00381-026-07256-2","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T08:13:50Z","timestamp":1776327230000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of anterior sacral meningoceles: a case series and systematic review"],"prefix":"10.1007","volume":"42","author":[{"given":"Ginevra","family":"Sussi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Spezzani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Vitulli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea Di","family":"Rita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Coletta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Cinalli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonino","family":"Morabito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavio","family":"Giordano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"issue":"1","key":"7256_CR1","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.surneu.2005.10.020","volume":"66","author":"WW Ashley","year":"2006","unstructured":"Ashley WW Jr, Wright NM (2006) Resection of a giant anterior sacral meningocele via an anterior approach: case report and review of literature. Surg Neurol 66(1):89\u201393. https:\/\/doi.org\/10.1016\/j.surneu.2005.10.020","journal-title":"Surg Neurol"},{"key":"7256_CR2","doi-asserted-by":"publisher","first-page":"833","DOI":"10.3109\/02688697.2013.785476","volume":"27","author":"A Aydoseli","year":"2013","unstructured":"Aydoseli A, Akcakaya MO, Aras Y, Dolas I, Yanar H, Sencer A (2013) Anterior sacral meningocele in a patient with Currarino syndrome as a cause of ileus. Br J Neurosurg 27:833\u2013835. https:\/\/doi.org\/10.3109\/02688697.2013.785476","journal-title":"Br J Neurosurg"},{"key":"7256_CR3","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1007\/978-3-031-36084-8_68","volume":"135","author":"L Azmitia","year":"2023","unstructured":"Azmitia L, Tamburrini G, Visocchi M (2023) Posterior surgical ligation and cyst decompression -via Needle Puncture- of a large anterior sacral pelvic meningocele through posterior sacral laminectomy. Acta Neurochir Suppl 135:447\u2013451. https:\/\/doi.org\/10.1007\/978-3-031-36084-8_68","journal-title":"Acta Neurochir Suppl"},{"issue":"5","key":"7256_CR4","doi-asserted-by":"publisher","first-page":"E1464","DOI":"10.1227\/NEU.0b013e3181f352ba","volume":"67","author":"E Bergeron","year":"2010","unstructured":"Bergeron E, Roux A, Demers J, Vanier LE, Moore L (2010) A 40-year-old woman with cauda equina syndrome caused by rectothecal fistula arising from an anterior sacral meningocele. Neurosurgery 67(5):E1464-7. https:\/\/doi.org\/10.1227\/NEU.0b013e3181f352ba","journal-title":"Neurosurgery"},{"key":"7256_CR5","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1016\/j.jmig.2012.03.025","volume":"19","author":"JR Berstock","year":"2012","unstructured":"Berstock JR, Bunni J, Thorpe PL (2012) Caution: laparoscopic biopsy of a large pelvic mass may result in disaster. J Minim Invasive Gynecol 19:651\u2013653. https:\/\/doi.org\/10.1016\/j.jmig.2012.03.025","journal-title":"J Minim Invasive Gynecol"},{"key":"7256_CR6","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/842620","volume":"2013","author":"M Beyazal","year":"2013","unstructured":"Beyazal M (2013) An asymptomatic large anterior sacral meningocele in a patient with a history of gestation: a case report with radiological findings. Case Rep Radiol 2013:842620. https:\/\/doi.org\/10.1155\/2013\/842620","journal-title":"Case Rep Radiol"},{"key":"7256_CR7","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1177\/0883073810365010","volume":"25","author":"S Bhatia","year":"2010","unstructured":"Bhatia S, Tullu MS, Date NB, Muzumdar D, Muranjan MN, Lahiri KR (2010) Anterior sacral pyocele with meningitis: a rare presentation of occult spinal dysraphism with congenital dermal sinus. J Child Neurol 25:1393\u20131397. https:\/\/doi.org\/10.1177\/0883073810365010","journal-title":"J Child Neurol"},{"key":"7256_CR8","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-017-0992-1","volume":"17","author":"AK Braczynski","year":"2017","unstructured":"Braczynski AK, Brockmann MA, Scholz T, Bach JP, Schulz JB, Tauber SC (2017) Anterior sacral meningocele infected with Fusobacterium in a patient with recently diagnosed colorectal carcinoma: a case report. BMC Neurol 17:212. https:\/\/doi.org\/10.1186\/s12883-017-0992-1","journal-title":"BMC Neurol"},{"issue":"1","key":"7256_CR9","doi-asserted-by":"publisher","DOI":"10.1016\/j.neucie.2025.500713","volume":"37","author":"J Cabrera-Montes","year":"2026","unstructured":"Cabrera-Montes J, D\u00edez-Valle R (2026) Giant intrabdominal meningocele in a patient with Marfan syndrome: case description and surgical management. Neurocirug\u00eda (English Edition) 37(1):500713. https:\/\/doi.org\/10.1016\/j.neucie.2025.500713","journal-title":"Neurocirug\u00eda (English Edition)"},{"key":"7256_CR10","doi-asserted-by":"publisher","first-page":"e9","DOI":"10.1016\/j.urology.2012.11.015","volume":"81","author":"E Castelli","year":"2013","unstructured":"Castelli E, Rosso R, Leucci G, Luparello V, Collura D, Giacobbe A, Muto G (2013) Huge anterior sacral meningocele simulating bladder retention. Urology 81:e9\u2013e10. https:\/\/doi.org\/10.1016\/j.urology.2012.11.015","journal-title":"Urology"},{"issue":"5","key":"7256_CR11","doi-asserted-by":"publisher","first-page":"584","DOI":"10.3171\/2018.5.PEDS17582","volume":"22","author":"MD Cearns","year":"2018","unstructured":"Cearns MD, Hettige S, De Coppi P, Thompson DNP (2018) Currarino syndrome: repair of the dysraphic anomalies and resection of the presacral mass in a combined neurosurgical and general surgical approach. J Neurosurg Pediatr 22(5):584\u2013590. https:\/\/doi.org\/10.3171\/2018.5.PEDS17582","journal-title":"J Neurosurg Pediatr"},{"key":"7256_CR12","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1007\/s003830100674","volume":"18","author":"AC Celayir","year":"2002","unstructured":"Celayir AC, Sander S, Eli\u00e7evik M, Unal M (2002) Posterior sagittal approach for treatment of presacral masses in infancy. Pediatr Surg Int 18:208\u2013210. https:\/\/doi.org\/10.1007\/s003830100674","journal-title":"Pediatr Surg Int"},{"key":"7256_CR13","doi-asserted-by":"publisher","DOI":"10.4103\/sni.sni_439_16","volume":"8","author":"D Chakhalian","year":"2017","unstructured":"Chakhalian D, Gunasekaran A, Gandhi G, Bradley L, Mizell J, Kazemi N (2017) Multidisciplinary surgical treatment of presacral meningocele and teratoma in an adult with Currarino triad. Surg Neurol Int 8:77. https:\/\/doi.org\/10.4103\/sni.sni_439_16","journal-title":"Surg Neurol Int"},{"key":"7256_CR14","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1097\/BRS.0000000000003296","volume":"45","author":"C Cheng","year":"2020","unstructured":"Cheng C, Tao B, Bai S, Gao G, Li S, Shang A (2020) Anterior sacral meningocele: a new classification and treatment using the dorsal transsacral approach. Spine Phila Pa 1976 45:444\u2013451. https:\/\/doi.org\/10.1097\/BRS.0000000000003296","journal-title":"Spine Phila Pa 1976"},{"issue":"5","key":"7256_CR15","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuchi.2024.101571","volume":"70","author":"A Chenneviere","year":"2024","unstructured":"Chenneviere A, Belloy F, Bessiere A, Petit T, Emery E, Borha A (2024) Surgical management of a rare giant sacral meningocele in a child. Neurochirurgie 70(5):101571. https:\/\/doi.org\/10.1016\/j.neuchi.2024.101571","journal-title":"Neurochirurgie"},{"key":"7256_CR16","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.52724","volume":"16","author":"A Choucha","year":"2024","unstructured":"Choucha A, Tomczak S, Norri N, Hardwigsen J, Dufour H (2024) Successful management of multiple giant anterior sacral meningoceles through an anterior approach in a patient with Marfan syndrome: a case report and literature review. Cureus 16:e52724. https:\/\/doi.org\/10.7759\/cureus.52724","journal-title":"Cureus"},{"key":"7256_CR17","doi-asserted-by":"publisher","first-page":"384","DOI":"10.3171\/2013.6.SPINE12956","volume":"19","author":"MJ Cools","year":"2013","unstructured":"Cools MJ, Al-Holou WN, Stetler WR Jr, La Marca F, Valdivia-Valdivia JM (2013) Anterior sacral pseudomeningocele following minimal trauma: case report. J Neurosurg Spine 19:384\u2013388. https:\/\/doi.org\/10.3171\/2013.6.SPINE12956","journal-title":"J Neurosurg Spine"},{"key":"7256_CR18","doi-asserted-by":"publisher","first-page":"1390","DOI":"10.1002\/bdr2.1124","volume":"109","author":"DM Croci","year":"2017","unstructured":"Croci DM, Dalolio M, Schaeren S, Wasner MG, Mariani L, Jost GF (2017) Thalidomide embryopathy as possible cause of anterior sacral meningocele: a case report. Birth Defects Res 109:1390\u20131392. https:\/\/doi.org\/10.1002\/bdr2.1124","journal-title":"Birth Defects Res"},{"issue":"5","key":"7256_CR19","doi-asserted-by":"publisher","first-page":"2277","DOI":"10.4103\/0028-3886.359169","volume":"70","author":"D Datta","year":"2022","unstructured":"Datta D, Bansal S, Satapathy A, Sahu RN (2022) Sacral defect with anterior sacral meningocele in a child - a mesodermal developmental disorder. Neurol India 70(5):2277\u20132278. https:\/\/doi.org\/10.4103\/0028-3886.359169","journal-title":"Neurol India"},{"key":"7256_CR20","doi-asserted-by":"publisher","first-page":"638","DOI":"10.1016\/s0022-3468(82)80126-7","volume":"17","author":"PA deVries","year":"1982","unstructured":"deVries PA, Pe\u00f1a A (1982) Posterior sagittal anorectoplasty. J Pediatr Surg 17:638\u2013643. https:\/\/doi.org\/10.1016\/s0022-3468(82)80126-7","journal-title":"J Pediatr Surg"},{"key":"7256_CR21","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1007\/s00381-013-2274-6","volume":"30","author":"S Duru","year":"2014","unstructured":"Duru S, Karabagli H, Turkoglu E, Er\u015fahin Y (2014) Currarino syndrome: report of five consecutive patients. Childs Nerv Syst 30:547\u2013552. https:\/\/doi.org\/10.1007\/s00381-013-2274-6","journal-title":"Childs Nerv Syst"},{"key":"7256_CR22","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.CC.K.00040","volume":"2","author":"J Ebnet","year":"2012","unstructured":"Ebnet J, Krauss JK, Lorenz M, Bektas H, Nakamura M (2012) Surgical treatment of anterior sacral meningoceles in patients with Marfan syndrome: a report of three cases. JBJS Case Connect 2:e16. https:\/\/doi.org\/10.2106\/JBJS.CC.K.00040","journal-title":"JBJS Case Connect"},{"issue":"4","key":"7256_CR23","doi-asserted-by":"publisher","first-page":"1295","DOI":"10.1007\/s00381-024-06286-y","volume":"40","author":"E Erdin","year":"2024","unstructured":"Erdin E, Bayatli E, Terzi M, Erg\u00fcn E, Ozgural O (2024) Posterior median surgical approach to anterior sacral meningocele complicated by rectothecal fistula. Childs Nerv Syst 40(4):1295\u20131299. https:\/\/doi.org\/10.1007\/s00381-024-06286-y","journal-title":"Childs Nerv Syst"},{"issue":"3","key":"7256_CR24","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1159\/000358093","volume":"49","author":"S Gesheva","year":"2013","unstructured":"Gesheva S, Greene C (2013) Occult anterior sacral meningocele abscess. Pediatr Neurosurg 49(3):193\u2013194. https:\/\/doi.org\/10.1159\/000358093","journal-title":"Pediatr Neurosurg"},{"issue":"Suppl 3","key":"7256_CR25","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1007\/s00586-017-5128-1","volume":"27","author":"IJ Gilete-Tejero","year":"2018","unstructured":"Gilete-Tejero IJ, Ortega-Mart\u00ednez M, Mata-G\u00f3mez J, Rico-Cotelo M, Bernal-Garc\u00eda LM, Yerga-Lorenzana B, Casado-Naranjo I (2018) Anterior sacral meningocele presenting as intracystic bleeding. Eur Spine J 27(Suppl 3):276\u2013280. https:\/\/doi.org\/10.1007\/s00586-017-5128-1","journal-title":"Eur Spine J"},{"key":"7256_CR26","doi-asserted-by":"publisher","first-page":"815.e5","DOI":"10.1016\/j.wneu.2017.02.112","volume":"101","author":"S Gupta","year":"2017","unstructured":"Gupta S, Chunnilal J, Mehrotra M, Mehrotra A, Srivastava AK, Das KK (2017) Recurrent abortion and tethered cord syndrome caused by anterior sacral meningocele: a report of a rare case with a review of the literature. World Neurosurg 101:815.e5-815.e7. https:\/\/doi.org\/10.1016\/j.wneu.2017.02.112","journal-title":"World Neurosurg"},{"issue":"1 Suppl","key":"7256_CR27","doi-asserted-by":"publisher","first-page":"162","DOI":"10.3171\/spi.2001.94.1.0162","volume":"94","author":"AS Hanna","year":"2001","unstructured":"Hanna AS, Morandi X (2001) Anterior sacral meningocele in pregnancy. Case report. J Neurosurg 94(1 Suppl):162\u2013164. https:\/\/doi.org\/10.3171\/spi.2001.94.1.0162","journal-title":"J Neurosurg"},{"key":"7256_CR28","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/j.wneu.2018.07.249","volume":"119","author":"AM Hollenberg","year":"2018","unstructured":"Hollenberg AM, Baldwin AL, Mesfin A, Silberstein H (2018) Rupture of giant anterior sacral meningocele in a patient with Marfan syndrome: diagnosis and management. World Neurosurg 119:137\u2013141. https:\/\/doi.org\/10.1016\/j.wneu.2018.07.249","journal-title":"World Neurosurg"},{"key":"7256_CR29","doi-asserted-by":"publisher","DOI":"10.1259\/bjrcr.20160037","volume":"3","author":"S Jawad","year":"2016","unstructured":"Jawad S, Ejindu V, Johnson D, Shah MA, Abbasi MA, Ojha K, Papadakos N (2016) Transvaginal ultrasound-guided aspiration of an anterior sacral meningocele masquerading as a hydrosalpinx, resulting in abscess formation. BJR Case Rep 3:20160037. https:\/\/doi.org\/10.1259\/bjrcr.20160037","journal-title":"BJR Case Rep"},{"issue":"6","key":"7256_CR30","doi-asserted-by":"publisher","first-page":"1374","DOI":"10.1080\/02688697.2022.2162852","volume":"38","author":"MA Kamal","year":"2024","unstructured":"Kamal MA, Eltayeb M, Coulter I, Jenkins A (2024) Surgical management of anterior sacral meningoceles: an illustrated case series and review of the literature. Br J Neurosurg 38(6):1374\u20131380. https:\/\/doi.org\/10.1080\/02688697.2022.2162852","journal-title":"Br J Neurosurg"},{"key":"7256_CR31","doi-asserted-by":"publisher","first-page":"659","DOI":"10.5137\/1019-5149.JTN.3985-10.1","volume":"22","author":"R Kansal","year":"2012","unstructured":"Kansal R, Mahore A, Dange N, Kukreja S (2012) Epidermoid cyst inside anterior sacral meningocele in an adult patient of Currarino syndrome manifesting with meningitis. Turk Neurosurg 22:659\u2013661. https:\/\/doi.org\/10.5137\/1019-5149.JTN.3985-10.1","journal-title":"Turk Neurosurg"},{"key":"7256_CR32","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.1007\/s00381-014-2379-6","volume":"30","author":"J Kemp","year":"2014","unstructured":"Kemp J, Guzman MA, Fitzpatrick CM, Elbabaa SK (2014) Holocord syringomyelia secondary to tethered spinal cord associated with anterior sacral meningocele and tailgut cyst: case report and review of literature. Childs Nerv Syst 30:1141\u20131146. https:\/\/doi.org\/10.1007\/s00381-014-2379-6","journal-title":"Childs Nerv Syst"},{"issue":"7","key":"7256_CR33","doi-asserted-by":"publisher","first-page":"528","DOI":"10.1007\/s11604-011-0582-x","volume":"29","author":"A Koksal","year":"2011","unstructured":"Koksal A, Canyigit M, Kara T, Ulus A, Gokbayir H, Sarisahin M (2011) Unusual presentation of an anterior sacral meningocele: magnetic resonance imaging, multidetector computed tomography, and fistulography findings of bacterial meningitis secondary to a rectothecal fistula. Jpn J Radiol 29(7):528\u2013531. https:\/\/doi.org\/10.1007\/s11604-011-0582-x","journal-title":"Jpn J Radiol"},{"key":"7256_CR34","doi-asserted-by":"publisher","first-page":"532","DOI":"10.3109\/02688697.2010.546901","volume":"25","author":"L Liu","year":"2011","unstructured":"Liu L, Li J, Huang S, You C (2011) Adult anterior sacral meningoceles misdiagnosed as pelvic cysts. Br J Neurosurg 25:532\u2013533. https:\/\/doi.org\/10.3109\/02688697.2010.546901","journal-title":"Br J Neurosurg"},{"key":"7256_CR35","doi-asserted-by":"publisher","DOI":"10.3171\/CASE22154","volume":"3","author":"L Loiola","year":"2022","unstructured":"Loiola L, Henriques VM, Moreira CAS, Greg\u00f3rio V, Vasconcelos FA, Schmidt AM, Guedes F (2022) Giant anterior sacral meningocele associated with hydroureteronephrosis and renal injury: illustrative case. J Neurosurg Case Lessons 3:26. https:\/\/doi.org\/10.3171\/CASE22154","journal-title":"J Neurosurg Case Lessons"},{"key":"7256_CR36","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1016\/j.wneu.2018.03.087","volume":"114","author":"DS Mankotia","year":"2018","unstructured":"Mankotia DS, Sawarkar DP, Singh PK, Kumar A, Verma SK, Chandra PS, Kale SS (2018) Rare case of cerebrospinal fluid proctorrhea caused by anterior sacral meningocele with rectothecal fistula. World Neurosurg 114:323\u2013325. https:\/\/doi.org\/10.1016\/j.wneu.2018.03.087","journal-title":"World Neurosurg"},{"key":"7256_CR37","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1002\/uog.4061","volume":"30","author":"F Manson","year":"2007","unstructured":"Manson F, Comalli-Dillon K, Moriaux A (2007) Anterior sacral meningocele: management in gynecological practice. Ultrasound Obstet Gynecol 30:893\u2013896. https:\/\/doi.org\/10.1002\/uog.4061","journal-title":"Ultrasound Obstet Gynecol"},{"key":"7256_CR38","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1007\/s00381-003-0814-1","volume":"19","author":"L Massimi","year":"2003","unstructured":"Massimi L, Calisti A, Koutzoglou M, Di Rocco C (2003) Giant anterior sacral meningocele and posterior sagittal approach. Childs Nerv Syst 19:722\u2013728. https:\/\/doi.org\/10.1007\/s00381-003-0814-1","journal-title":"Childs Nerv Syst"},{"key":"7256_CR39","doi-asserted-by":"publisher","first-page":"40","DOI":"10.4103\/1817-1745.84406","volume":"6","author":"A Mohta","year":"2011","unstructured":"Mohta A, Das S, Jindal R (2011) Anterior sacral meningocele presenting as constipation. J Pediatr Neurosci 6:40\u201343. https:\/\/doi.org\/10.4103\/1817-1745.84406","journal-title":"J Pediatr Neurosci"},{"key":"7256_CR40","doi-asserted-by":"publisher","first-page":"4177","DOI":"10.1007\/s00464-013-3017-1","volume":"27","author":"M Nedelcu","year":"2013","unstructured":"Nedelcu M, Andreica A, Skalli M, Pirlet I, Guillon F, Nocca D, Fabre JM (2013) Laparoscopic approach for retrorectal tumors. Surg Endosc 27:4177\u20134183. https:\/\/doi.org\/10.1007\/s00464-013-3017-1","journal-title":"Surg Endosc"},{"key":"7256_CR41","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1097\/00006123-199012000-00020","volume":"27","author":"RB North","year":"1990","unstructured":"North RB, Kidd DH, Wang H (1990) Occult, bilateral anterior sacral and intrasacral meningeal and perineurial cysts: case report and review of the literature. Neurosurgery 27:981\u2013986. https:\/\/doi.org\/10.1097\/00006123-199012000-00020","journal-title":"Neurosurgery"},{"key":"7256_CR42","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.radcr.2018.09.011","volume":"14","author":"P Ojeda","year":"2018","unstructured":"Ojeda P, Khorsand D, Zawaideh M, Kolokythas O (2018) Rectothecal fistula complicating anterior sacral meningocele repair. Radiol Case Rep 14:112\u2013115. https:\/\/doi.org\/10.1016\/j.radcr.2018.09.011","journal-title":"Radiol Case Rep"},{"key":"7256_CR43","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","volume":"372","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hr\u00f3bjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https:\/\/doi.org\/10.1136\/bmj.n71","journal-title":"BMJ"},{"key":"7256_CR44","doi-asserted-by":"publisher","first-page":"182","DOI":"10.3171\/2018.1.SPINE171303","volume":"29","author":"GM Paisan","year":"2018","unstructured":"Paisan GM, Crandall KM, Chen S, Burks SS, Sands LR, Levi AD (2018) Closure of a giant anterior sacral meningocele with an omental flap in a patient with Marfan syndrome: case report. J Neurosurg Spine 29:182\u2013186. https:\/\/doi.org\/10.3171\/2018.1.SPINE171303","journal-title":"J Neurosurg Spine"},{"key":"7256_CR45","doi-asserted-by":"publisher","first-page":"242","DOI":"10.4103\/jiaps.jiaps_162_22","volume":"28","author":"SV Parelkar","year":"2023","unstructured":"Parelkar SV, Sanghvi BV, Tiwari P, Gupta R, Shah R (2023) Posterior sagittal approach for nonanorectal malformation: widening spectrum. J Indian Assoc Pediatr Surg 28:242\u2013244. https:\/\/doi.org\/10.4103\/jiaps.jiaps_162_22","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"38","key":"7256_CR46","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2021.101703","volume":"3","author":"CJ Parkin","year":"2021","unstructured":"Parkin CJ, Wilcox CB, Chalasani V (2021) A rare case of an enormous sacral meningocele causing ureteric obstruction. Urol Case Rep 3(38):101703. https:\/\/doi.org\/10.1016\/j.eucr.2021.101703","journal-title":"Urol Case Rep"},{"issue":"10","key":"7256_CR47","doi-asserted-by":"publisher","first-page":"1633","DOI":"10.1007\/s10350-006-0646-7","volume":"49","author":"JT Phillips","year":"2006","unstructured":"Phillips JT, Brown SR, Mitchell P, Shorthouse AJ (2006) Anaerobic meningitis secondary to a rectothecal fistula arising from an anterior sacral meningocele: report of a case and review of the literature. Dis Colon Rectum 49(10):1633\u20131635. https:\/\/doi.org\/10.1007\/s10350-006-0646-7","journal-title":"Dis Colon Rectum"},{"key":"7256_CR48","doi-asserted-by":"publisher","first-page":"67","DOI":"10.11152\/mu.2013.2066.151.avp1asm2","volume":"15","author":"AV Polat","year":"2013","unstructured":"Polat AV, Belet U, Aydin R, Katranci S (2013) Anterior sacral meningocele mimicking ovarian cyst: a case report. Med Ultrason 15:67\u201370. https:\/\/doi.org\/10.11152\/mu.2013.2066.151.avp1asm2","journal-title":"Med Ultrason"},{"key":"7256_CR49","doi-asserted-by":"publisher","DOI":"10.25259\/SNI_157_2020","volume":"11","author":"A Rahimizadeh","year":"2020","unstructured":"Rahimizadeh A, Ehteshami S, Rahimizadeh A, Karimi M (2020) Anterior sacral meningocele complicated by rectothecal fistula and rectorrhea: a case report and review of the literature. Surg Neurol Int 11:117. https:\/\/doi.org\/10.25259\/SNI_157_2020","journal-title":"Surg Neurol Int"},{"issue":"1","key":"7256_CR50","doi-asserted-by":"publisher","DOI":"10.2484\/rcr.v7i1.442","volume":"7","author":"JD Samet","year":"2015","unstructured":"Samet JD, Johnson PT, Horton KM, Fishman EK (2015) Diverticulitis complicated by fistulous communication of sigmoid colon with anterior sacral meningocele in a patient with Marfan syndrome. Radiol Case Rep 7(1):442. https:\/\/doi.org\/10.2484\/rcr.v7i1.442","journal-title":"Radiol Case Rep"},{"issue":"5","key":"7256_CR51","doi-asserted-by":"publisher","first-page":"487","DOI":"10.3171\/SPI\/2008\/8\/5\/487","volume":"8","author":"AA S\u00e1nchez","year":"2008","unstructured":"S\u00e1nchez AA, Iglesias CD, L\u00f3pez CD, Cecilia DM, G\u00f3mez JA, Barbadillo JG, Pe\u00f1a SR (2008) Rectothecal fistula secondary to an anterior sacral meningocele. J Neurosurg Spine 8(5):487\u2013489. https:\/\/doi.org\/10.3171\/SPI\/2008\/8\/5\/487","journal-title":"J Neurosurg Spine"},{"issue":"23","key":"7256_CR52","doi-asserted-by":"publisher","DOI":"10.3171\/CASE2572","volume":"9","author":"KH Shah","year":"2025","unstructured":"Shah KH, Tigchelaar SS, Khalafallah AM, Levi AD (2025) Neurosurgical management of a giant anterior sacral meningocele in a patient with combined Currarino syndrome and caudal duplication anomaly: illustrative case. Journal of Neurosurgery: Case Lessons 9(23):CASE2572. https:\/\/doi.org\/10.3171\/CASE2572","journal-title":"Journal of Neurosurgery: Case Lessons"},{"key":"7256_CR53","doi-asserted-by":"publisher","first-page":"428","DOI":"10.3109\/02688697.2014.987213","volume":"29","author":"D Shastin","year":"2015","unstructured":"Shastin D, Selvanathan SK, Tyagi AK (2015) A rare case of anterior sacral meningocoele presenting as cauda equina syndrome. Br J Neurosurg 29:428\u2013429. https:\/\/doi.org\/10.3109\/02688697.2014.987213","journal-title":"Br J Neurosurg"},{"key":"7256_CR54","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1053\/j.semss.2006.06.002","volume":"18","author":"D Shedid","year":"2006","unstructured":"Shedid D, Roger EP, Benzel EC (2006) Presacral meningocele: diagnosis and treatment. Semin Spine Surg 18:161\u2013167. https:\/\/doi.org\/10.1053\/j.semss.2006.06.002","journal-title":"Semin Spine Surg"},{"key":"7256_CR55","doi-asserted-by":"publisher","first-page":"730","DOI":"10.1016\/s0022-3468(97)90018-x","volume":"32","author":"S Somuncu","year":"1997","unstructured":"Somuncu S, Arit\u00fcrk E, Iyig\u00fcn O, Bernay F, Rizalar R, G\u00fcnaydin M, G\u00fcrses N (1997) A case of anterior sacral meningocele totally excised using the posterior sagittal approach. J Pediatr Surg 32:730\u2013732. https:\/\/doi.org\/10.1016\/s0022-3468(97)90018-x","journal-title":"J Pediatr Surg"},{"key":"7256_CR56","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1002\/uog.8852","volume":"37","author":"A Sumi","year":"2011","unstructured":"Sumi A, Sato Y, Kakui K, Tatsumi K, Fujiwara H, Konishi I (2011) Prenatal diagnosis of anterior sacral meningocele. Ultrasound Obstet Gynecol 37:493\u2013496. https:\/\/doi.org\/10.1002\/uog.8852","journal-title":"Ultrasound Obstet Gynecol"},{"key":"7256_CR57","doi-asserted-by":"publisher","first-page":"862","DOI":"10.3171\/2015.8.SPINE15129","volume":"24","author":"TP Sunna","year":"2016","unstructured":"Sunna TP, Westwick HJ, Zairi F, Berania I, Shedid D (2016) Successful management of a giant anterior sacral meningocele with an endoscopic cutting stapler: case report. J Neurosurg Spine 24:862\u2013866. https:\/\/doi.org\/10.3171\/2015.8.SPINE15129","journal-title":"J Neurosurg Spine"},{"issue":"2","key":"7256_CR58","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.ejogrb.2012.06.028","volume":"164","author":"D Surico","year":"2012","unstructured":"Surico D, Amadori R, Ambrosini R, Vigone A, Surico N (2012) Pregnancy in a patient with anterior sacral meningocele and bicornuate uterus. Eur J Obstet Gynecol Reprod Biol 164(2):237\u2013238. https:\/\/doi.org\/10.1016\/j.ejogrb.2012.06.028","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"4","key":"7256_CR59","doi-asserted-by":"publisher","first-page":"204","DOI":"10.2176\/nmc.43.204","volume":"43","author":"S Tani","year":"2003","unstructured":"Tani S, Okuda Y, Abe T (2003) Surgical strategy for anterior sacral meningocele. Neurol Med Chir (Tokyo) 43(4):204\u2013209. https:\/\/doi.org\/10.2176\/nmc.43.204","journal-title":"Neurol Med Chir (Tokyo)"},{"issue":"4","key":"7256_CR60","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1016\/j.surneu.11.067","volume":"68","author":"C Trapp","year":"2007","unstructured":"Trapp C, Farage L, Clatterbuck RE, Romero FR, Rais-Bahrami S, Long DM, Kavoussi LR (2007) Laparoscopic treatment of anterior sacral meningocele. Surg Neurol 68(4):443\u2013448. https:\/\/doi.org\/10.1016\/j.surneu.11.067","journal-title":"Surg Neurol"},{"issue":"2","key":"7256_CR61","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/s00381-009-0960-1","volume":"26","author":"RS Tubbs","year":"2010","unstructured":"Tubbs RS, Liechty P, Matz P, Oakes WJ (2010) Conception in an infertile patient following obliteration of a huge anterior sacral meningocele: case report. Childs Nerv Syst 26(2):273\u2013274. https:\/\/doi.org\/10.1007\/s00381-009-0960-1","journal-title":"Childs Nerv Syst"},{"key":"7256_CR62","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1159\/000321923","volume":"46","author":"KY Vamsi","year":"2010","unstructured":"Vamsi KY, Sarat Chandra P, Sharma BS, Mohapatra AK (2010) Anterior sacral meningocele wrongly diagnosed as ovarian cyst. Pediatr Neurosurg 46:245\u2013246. https:\/\/doi.org\/10.1159\/000321923","journal-title":"Pediatr Neurosurg"},{"key":"7256_CR63","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1016\/j.wneu.2019.04.105","volume":"129","author":"P Vanek","year":"2019","unstructured":"Vanek P, Benes V (2019) Successful management of a giant anterior sacral meningocele associated with low-dysplastic spondylolisthesis from a single posterior approach: case report. World Neurosurg 129:522\u2013525. https:\/\/doi.org\/10.1016\/j.wneu.2019.04.105","journal-title":"World Neurosurg"},{"issue":"3","key":"7256_CR64","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.36497","volume":"15","author":"A Verma","year":"2023","unstructured":"Verma A, Attry S, Haldenia K, Gupta VK, Bansal P (2023) Currarino syndrome presenting in adulthood: a rare case. Cureus 15(3):e36497. https:\/\/doi.org\/10.7759\/cureus.36497","journal-title":"Cureus"},{"key":"7256_CR65","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-6-412","volume":"6","author":"HP Versteegh","year":"2013","unstructured":"Versteegh HP, Feitz WF, van Lindert EJ, Marcelis C, de Blaauw I (2013) This bicycle gives me a headache\u201d, a congenital anomaly. BMC Res Notes 6:412. https:\/\/doi.org\/10.1186\/1756-0500-6-412","journal-title":"BMC Res Notes"},{"key":"7256_CR66","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000019631","volume":"99","author":"Y Wang","year":"2020","unstructured":"Wang Y, He B, Yang J, Xu J, Liu J, Huang S (2020) Individualized management of giant anterior meningoceles-case series. Medicine Baltimore 99:e19631. https:\/\/doi.org\/10.1097\/MD.0000000000019631","journal-title":"Medicine Baltimore"},{"key":"7256_CR67","doi-asserted-by":"publisher","DOI":"10.25259\/SNI_722_2021","volume":"12","author":"A Xhumari","year":"2021","unstructured":"Xhumari A, Zaimi E, Saraci M, Zikaj G (2021) Intracranial hypotension as a unique complication of the rupture of an anterior sacral meningocele into a recurrent pilonidal cyst. Surg Neurol Int 12:463. https:\/\/doi.org\/10.25259\/SNI_722_2021","journal-title":"Surg Neurol Int"},{"issue":"20","key":"7256_CR68","doi-asserted-by":"publisher","DOI":"10.3171\/CASE20159","volume":"1","author":"YC Yeh","year":"2021","unstructured":"Yeh YC, Lin YJ, Yeh CH, Hsieh PS, Wu CT (2021) Anterior sacral meningocele repair assisted by intraoperative intrathecal fluorescence and 3D printing model: illustrative case. J Neurosurg Case Lessons 1(20):CASE20159. https:\/\/doi.org\/10.3171\/CASE20159","journal-title":"J Neurosurg Case Lessons"},{"issue":"Suppl 1","key":"7256_CR69","doi-asserted-by":"publisher","first-page":"e104","DOI":"10.1055\/s-0032-1326938","volume":"74","author":"ER Yilmaz","year":"2013","unstructured":"Yilmaz ER, Hasturk AE, Caglar S (2013) An unusual sacral osteomyelitis due to an occult anterior sacral meningocele. J Neurol Surg A Cent Eur Neurosurg 74(Suppl 1):e104\u2013e106. https:\/\/doi.org\/10.1055\/s-0032-1326938","journal-title":"J Neurol Surg A Cent Eur Neurosurg"}],"container-title":["Child's Nervous System"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-026-07256-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00381-026-07256-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-026-07256-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T08:13:51Z","timestamp":1776327231000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00381-026-07256-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,16]]},"references-count":69,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["7256"],"URL":"https:\/\/doi.org\/10.1007\/s00381-026-07256-2","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-8986449\/v1","asserted-by":"object"}]},"ISSN":["1433-0350"],"issn-type":[{"value":"1433-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,16]]},"assertion":[{"value":"27 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from all patients and\/or the parents of the patients for publication of this case series report and any accompanying images. All identifying information was stripped off. The manuscript was conducted ethically in accordance with the World Medical Association Declaration of Helsinki (approved by the Ethics Committee, protocol: MEN2025, approval number: 96\/2025).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All the authors have nothing to declare.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}},{"value":"The authors declare that they have no financial or non-financial interests that are directly or indirectly related to this work.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict interests"}}],"article-number":"162"}}