Utilization of predonated autologous blood in anterior cervical corpectomy and fusion surgery.
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.
Espiritu
Michael T
MT
Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Khan
Mustafa H
MH
Hannallah
David
D
Donaldson
William F
WF
Kang
James D
JD
Lee
Joon Y
JY
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