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January 24, 1972

Surgery in Centenarians

Author Affiliations

Jamestown, NY

JAMA. 1972;219(4):513. doi:10.1001/jama.1972.03190300049024

To the Editor.—  Spinal anesthesia for a 102-year-old patient as described by Milliken and Milliken (218:1435, 1971) is indeed a rarity but is not a record. After a thorough study of the published material on geriatric anesthetics, they concluded that this was the oldest recorded patient so treated.In 1957,1 I reported the successful treatment of femoral fractures at the hip in three patients over 100 years of age. The oldest, a white woman, with a documented age of 105 years and 7 months, had an open reduction with blade-plate fixation of a displaced intertrochanteric fracture under spinal anesthesia. It is my belief that she is the oldest patient on record in the English language medical literature to have received such major orthopedic surgery with spinal anesthesia.My second oldest was a white woman, aged 101 years and 9 months, with a severe communited and displaced subtrochanteric femoral