SPMLs & EtOH

Spastic diplegia with extensive mesh skin graft for 3 rd degree burns from being plunged into extremely hot water. Not an accident. Full walking for first time after SPMLs We used SPMLs to also lengthen her skin to allow the range. No sutures.

Two examples of Wilson’s Disease: On the right a late teenager unable to even sit from extensive contracture, both tissue and reflexive. On right, lower: walking unassisted after SPMLs and SAWCH ankle/foot casts. On the left a 19

year old male who was chair only. Then after SPML showing off by running at the camera in the hallway. Another Wilson’s case was admitted (to Hematology) so that a severe platelet

deficiency (rare but known in Wilson’s) could be managed [120 volunteer fresh platelet donors] – took all day. Surgery was late evening once the