Aim of the study: This study was undertaken to assess the value of superior pubic ramus osteotomy (SPRO) for easy closure of the pelvic ring during repair of different types of BE. 
Methods: Fourteen consecutive cases of (BE) were subjected to primary reconstruction after anterior pubic osteotomy that was performed by the pediatric surgeon and did not require the assisstance of an orthopedic team. Varities of the studied cases, the associated anomalies and postoperative complications were reviewed. After osteotomy, closure of the abdominal wall and skin was easy and tensionless. 
Results: Out of the 14 operated cases, 2 cases developed bladder dehiscence that were reclosed 4 months latter. In both cases pubic rediastasis had not occurred. 3 children developed postoperative inguinal hernias, one of them was bilateral. 
Conclusion: We can conclude that SPRO is safe and efficacious technique to obtain tension free approximation of the pelvic ring in BE-repair with a similar results to those obtained with more complicated osteotomies.