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Systematic review. Study rationale and context:  Bone graft from the iliac crest has been the gold standard in posterolateral spinal fusion procedures, but is associated with chronic pain at the harvest site. Bone graft harvested locally from the spine and combined with extenders may decrease the morbidity associated with iliac graft harvest, but questions remain on the success of this technique to achieve bone union.

Lumbar posterolateral fusion with local bone graft plus bone extender compared with iliac crest bone graft: a systematic review