title: Utilization of predonated autologous blood in anterior cervical corpectomy and fusion surgery.
abstract: OBJECTIVE
  To determine the utilization of predonated autologous blood in patients treated with anterior cervical corpectomy and fusion (ACCF).
  
  
  METHODS
  Retrospective chart review of 154 patients who underwent 1, 2, or 3-level ACCF over a 6-year period was performed. Variables collected included patterns of autologous and allogenic blood use, blood loss, and hematocrit at admission and discharge from the hospital.
  
  
  RESULTS
  For 1-level ACCF, only 16.7% of the predonated autologous blood was used. As expected, use of predonated autologous blood increased with the number of corpectomy levels: Patients with 2 and 3-level ACCF used 29.0% and 53.4% of the predonated blood, respectively. The use of autologous blood significantly reduced the need for allogenic blood transfusion for 2 and 3-level ACCF.
  
  
  CONCLUSIONS
  Autologous blood was used efficiently in 3-level ACCF, and predonation is associated with decreased allogeneic blood transfusion requirement in 2 and 3-level ACCF.
authors.affiliation: Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, PA 15213, USA.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Espiritu
authors.forename: Mustafa H
authors.initials: MH
authors.lastname: Khan
authors.forename: David
authors.initials: D
authors.lastname: Hannallah
authors.forename: William F
authors.initials: WF
authors.lastname: Donaldson
authors.forename: James D
authors.initials: JD
authors.lastname: Kang
authors.forename: Joon Y
authors.initials: JY
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001804:Blood Transfusion, Autologous / Q000706:statistics & numerical data*; D002574:Cervical Vertebrae / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects* / Q000379:methods; D010414:Pennsylvania; D019106:Postoperative Hemorrhage / Q000517:prevention & control / Q000628:therapy*; D012189:Retrospective Studies; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods