,I discussed the risks, benefits, and alternative of the procedure including material risks of bleeding, infection, neurovascular injury, dural tear, singular or multiple muscle weakness, paralysis, hoarseness of voice, difficulty swallowing, pseudoarthrosis, adjacent segment disease, and the risk of this given the patient's relatively young age. 
,I discussed the risks , benefits , and alternative of the procedure including material risks of bleeding , infection , neurovascular injury , dural tear , singular or multiple muscle weakness , paralysis , hoarseness of voice , difficulty swallowing , pseudoarthrosis , adjacent segment disease , and the risk of this given the patient 's relatively young age .