Editorial Commentary: Seizure Control Is Essential Before Stabilization Surgery in Patients With Epilepsy and Shoulder Instability

Abstract

Patients with seizure-induced shoulder instability endure significant hardship before ultimately undergoing surgical stabilization. These patients often present with significant bony lesions, causing recurring and frequent dislocations, not necessarily occurring during a seizure. Despite the increased surgical risks in this population, surgery-whether a bony procedure such as the Latarjet or, less commonly, a soft-tissue procedure-can result in positive outcomes. Surgery should be postponed until adequate seizure control is achieved, as seizures in the immediate postoperative period could be catastrophic.