Back Conditions

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Acceptability at Recruitment

QUALIFIED

Acceptability at CT / Work-Up

QUALIFIED

Individual at Risk

Donor

General Guidance

In general, donors undergoing a bone marrow collection run the risk of exacerbating pre-existing mechanical back conditions due to the shearing forces applied to the lower back and pelvis during the procedure. However, many such donors may donate by PBSC.

Defer in the following cases

Donors with non-mechanical inflammatory back conditions (eg associated with autoimmune disease)

Any donor receiving regular steroid injections to the spine

Any donor with a back condition which may physically prohibit the donor transferring to an apheresis couch, or lying in an apheresis couch for at least four hours (venous access is not permitted in a wheelchair), or a back condition which might compromise the safety of the donor or staff during collection

Individual Guidance

Back complaints should be considered in the subgroups below

Mild, occasional episodes related to exertion (incl sciatica). Minimal impact on activities of daily living and occasional use of medication

Recruitment - Accept

VT - Accept for PBSC only. Can consider BMH on case-by-case basis following discussion with MO.

Severe chronic back pain. Impacts on activities of daily living

Recruitment - Defer

VT - Defer

History of current or past herniated intevertebral disc

Recruitment - Accept for PBSC only

VT - Accept for PBSC only

History of back surgery

Defer if less than 4 months from date of surgery.

Donor must be fully recovered from surgery

Recruitment - Accept for PBSC only

VT - Accept for PBSC Only

Scoliosis

Recruitment - Accept if no surgery and no impact on daily activities

VT - Accept if no surgery and no impact on daily activities

History of fracture, dislocation or instability

Recruitment - Accept for PBSC only provided does not meet criteria for severe chronic back pain

VT - Accept for PBSC only provided does not meet criteria for severe chronic back pain

Version

Version 2, Edition 1

Date of Last Update

9 June 2016