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Treatment must feature duraplasty and perchance a satisfactory smooth structure coverage. Delayed surgery in MMC customers can be more tiresome due to your less clear edges amongst the placode plus the skin. Moreover, the risks of wound infection and breakdown enhance notably. Case presentation We present the uncommon situation of a large MMC in a 3-year-old client treated by incorporating the recently explained cryopreserved amniotic membrane (was) as homograft