Tuite GF, et al. – Analysts aimed to conclude the recent International Children's Continence Society (ICCS) recommendations for diagnosis and treatment of occult spinal dysraphism (OSD). They exhibited evidence that infants with classic cutaneous markers of OSD, with progressive neurologic, skeletal, and/or urologic findings, present no diagnostic or therapeutic dilemma: they routinely undergo MRI and SCU. Conversely, in asymptomatic patients or those with fixed, minor abnormalities, the risk profile of these OSD cohorts should be carefully considered before spinal cord untethering is conducted.