<s>[INST] My son whom is seven now was born at 24 wks and has already had a VSD closure and Brain surgery from getting to much blood during that surgry he is now about to undergo a series of spinal fusions starting with removing his extra vertebrae and then fixing the anomolies with bone graphs and fusions do I need anything special here at home for after his surgry [/INST] You did not tell me why did he undergo brain surgery- is it placement of VP shunt? is he having Arnold Chiari? spinal fusion for the closure of meningomyelocele and it's a routine procedure. Taking care of the wound without soiling with urine and stools is very important. Take care of VP shunt malfunction and report to doctor immediately. </s>