Narrative ReviewsPreoperative Considerations for the Frail PatientMcCarthy, Laura MBBCh*; Haran, Emma MBBCh*; Ahern, Daniel P. MCh, MRCSI†,‡; McDonnell, Jake M. MBBCh, BAO§; Butler, Joseph S. PhD, FACS, FRCS*,‡ Author Information *School of Medicine, University College Dublin †Trinity College, College Green ‡National Spinal Injuries Unit, The Mater Misericordiae University Hospital §Royal College of Surgeons, Dublin, Ireland The authors declare no conflict of interest. Reprints: Jake M. McDonnell, MBBCh, BAO, Royal College of Surgeons, Ireland, 123 Street, Stephen’s Green, Dublin D02, Ireland (e-mail: [email protected]). Clinical Spine Surgery: November 2022 - Volume 35 - Issue 9 - p 363-370 doi: 10.1097/BSD.0000000000001283 Buy Metrics Abstract Frailty is a common geriatric syndrome, the relevance of which is becoming increasingly apparent in the clinical setting. It is often accompanied by varying degrees of sarcopenia and/or osteoporosis, leading to a decline in physical function, decreased levels of physical activity, and overall poorer health outcomes in older adults. Identifying this cohort of patients before stressor events such as spinal surgery can prove paramount to improving the postoperative outcomes of these patients. This review provides a pertinent descriptive analysis to aid identification of frailty in a clinical setting, in addition to outlining methods of preoperative intervention that may improve postoperative outcomes. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.