AB166. SOH24AB_250. Latarjet procedure for patients with pre-existing seizure disorders verses controls: a systematic review & meta-analysis
Orthopaedic Poster Session

AB166. SOH24AB_250. Latarjet procedure for patients with pre-existing seizure disorders verses controls: a systematic review & meta-analysis

David O’Sullivan, Martin Davey, Eoghan Hurley, Hannan Mullet

UPMC Sports Surgery Clinic, Santry, Dublin, Ireland

Background: Anterior shoulder instability in the setting of patients with seizure disorder (SD) can be a challenging condition to manage. The purpose of this study was to systematically review the literature to ascertain the clinical outcomes of the Latarjet procedure in patients with SDs versus controls.

Methods: Two independent reviewers performed a literature search using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines using PubMed, Embase and Scopus databases. Only studies reporting on outcomes of open Latarjet (OL) procedure comparing patients with pre-existing SDs, or those comparing such patients versus controls were considered for inclusion. Meta-analysis was performed on clinical outcomes compared using RevMan.

Results: Our search found 5 studies including 237 shoulders (51% males), with an average age of 28.9±2.5 years (range: 19–55 years) and mean follow-up of 55±31.7 months (range: 12–240 months). There were a total of 3 studies comparing outcomes, with 133 and 118 shoulders who underwent Latarjet procedure in the SD and control groups respectively, with both groups reporting significant increases in the Rowe and American Shoulder and Elbow Surgeons (ASES) scores post-operatively (both P<0.01). Additionally, there were significantly higher Rowe scores reported in the control group post-OL procedures when compared to the SD group (94.4±0.1 vs. 85.2±7.9, P<0.001). Meta-analysis demonstrated that there were significantly higher recurrence rates in those who underwent a Latarjet procedure with pre-existing SD, versus those in the control group (12.7% vs. 2.5%, P=0.01).

Conclusions: Our review found that patients with pre-existing SD were significantly more like to report higher rates of post-operative recurrence and poorer functional outcomes following a Latarjet procedure, when compared to controls.

Keywords: Anterior shoulder instability; Latarjet; meta-analysis; seizure disorder (SD); systematic review

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab166
Cite this abstract as: O’Sullivan D, Davey M, Hurley E, Mullet H. AB166. SOH24AB_250. Latarjet procedure for patients with pre-existing seizure disorders verses controls: a systematic review & meta-analysis. Mesentery Peritoneum 2024;8:AB166.

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