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Neural tube defects occur within the first four weeks of gestation and can be seen in a variable range from anencephaly to spina bifida. The most common form of spina bifida is meningomyelocele. Its etiology is multifactorial including genetic, geographical, and ethnic factors, low socioeconomic status, and folic acid deficiency (2). The incidence of neural tube defects has been reported as one per 1,000 live births (3).

A new alternative flap in the closure of meningomyelocele defects: modified S flaps