Spinal meningoceles are malformations characterized by sac-like protrusions filled with cerebrospinal fluid, emanating from the dura mater and located anteriorly or posteriorly in the spinal canal. This review paper provides a comprehensive examination of spinal meningoceles, detailing their classification, clinical manifestations, diagnostic procedures, and therapeutic options. Distinctions between posterior and anterior meningoceles in terms of clinical findings and treatment options underscore the importance of identifying cases necessitating intervention. The study also delves into specific meningocele variants associated with rare syndromes like the Currarino triad and genetic conditions such as Neurofibromatosis and Marfan syndrome. Conclusively, managing spinal meningoceles demands a multifaceted approach, advocating for personalized treatment strategies tailored to individual patient needs.