Spinal anomalies beyond neural tube defect are a group of abnormalities characterized by vertebral development disorders. These defects are a relatively rare congenital anomaly affecting around 1 in 1000 live births. They may occur isolated or – as a result of a more extensive fetal insult during embryonic development – in association with defects in other systems or as part of syndromes. Review article focuses on the description of less-mentioned group of spinal defects and the procedure of the diagnostic process focused mainly on prenatal ultrasound examination of the fetus, when early diagnosis of these disabilities allows for the planning of spondylosurgical care.