Neurosurgery Expert Forum
Second opinion?
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Welcome to the International Neurosurgery forum. This forum is moderated by Dr. Abi Chahine who is affiliated with St. George Hospital in Beirut, Lebanon

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Second opinion?

My 20 year old son has been advised he needs scoliosis reconstruction as he has a thoracic scoliosis from T2-T8.  He has been told he needs a 9 posterior spinal fusion, with aggressive release at the T4 level with possible partial vertebral column resection.  He was told this has significant risk to the spinal cord.  
My son also suffers from Marfans syndrome.
He has been advised that this surgery is necessary and there is no other option available to him. Can you advise the level of risk to the spinal cord there may be, and if I should get a second opinion as this is (in the surgeons own words) 'the most aggressive treatment, which is the best'?
Thanks for any light you can shed on this
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623823_tn?1357420257
Scoliosis surgery is a regular surgery done by experienced Orthopedics, neurosurgeons or spinal surgeons.
There is no significant risk regarding the spinal cord unless the patient presents successive vertebral fusion. In this last case partial bone (vertebral) resection is mandatory, and at that level we can speak about 5-15 % of danger (commonly known as morbidity in medicine).

Scoliosis repair results still -in my opinion- tightly related to the surgeon's experience and expertise in the field of vertebral mechanics.

Dr Nassim Abi Chahine
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