How old is too old?
Every now and then I think it is important for us to reflect on how we are spending our healthcare dollars. When I was a young surgeon, I remember a lot of discussion about how ridiculous is was to operate on patients with advanced age. Their complication rate and mortality was significantly higher than their younger counter parts. So, what to do? A 97-year-old female presents to the ER after a fall. She has a Chance fracture of T12. A Chance fracture is basically when a bone splits in half. None of these fractures heal on their own. They are highly