Surgical stabilization of shoulder instability in patients with or without a history of seizure: A comparative analysis
Arthroscopy Jun 17, 2020
Agha O, Rugg CM, Lansdown DA, et al. - In this study patients from a large multicenter cohort with a history of seizure were compared to those without a history of seizure in regard to preoperative and intraoperative findings and surgical procedures performed. Researchers prospectively included patients undergoing shoulder stabilization from 2011 to 2018 at 11 orthopaedic centers. They distinguished and compared those patients who has a history of seizure with non-seizure controls. They obtained preoperative demographic, history, physical examination, and imaging findings. Using Mann-Whitney tests, Chi Square tests, and logistic regression analysis, differences between the groups and define independent risk factors were analyzed. In this study, 25 of 1298 shoulder stabilization patients had a history of seizure (1.9%) during enrollment. Compared with controls, seizure patients had more prior dislocations, more preoperative bone loss, and had undergone more open stabilization procedures due to bone loss. Studies evaluating recurrence following stabilization will assist appropriate management practices in this population.
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