Evidence map›Paper›PMID 27556001›Full record

ReviewGlobal spine journal2016

Iliac Crest Bone Graft versus Local Autograft or Allograft for Lumbar Spinal Fusion: A Systematic Review.

Alexander Tuchman, Darrel S Brodke, Jim A Youssef, Hans-Jörg Meisel, Joseph R Dettori, Jong-Beom Park, S Tim Yoon, Jeffrey C Wang

Open access · goldAbstract readReview
In one paragraph

Review in Global spine journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. PLIF surgery with titanium-coated PEEK or uncoated PEEK cages: a prospective randomised clinical and radiological study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021
    Trial
  3. Trial
  4. Results of lumbar spondylodeses using different bone grafting materials after transforaminal lumbar interbody fusion (TLIF).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017
    Trial
  5. Applications of DNA Hydrogels in Osteoporotic Bone Defects.Journal of functional biomaterials · 2026
    Review
  6. Article
  7. [Posterior Wall Reconstruction Using Iliac Strut Graft in Posterior Acetabular Wall Fracture].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026
    Article
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  11. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 3 countries.

Alexander TuchmanDepartment of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, United States.
Darrel S BrodkeDepartment of Orthopedics, University of Utah, School of Medicine, Salt Lake City, Utah, United States.
Jim A YoussefDurango Orthopedic Associates, P.C./Spine Colorado, Durango, Colorado, United States.
Hans-Jörg MeiselDepartment of Neurosurgery, Bergmannstrost Hospital, Halle, Germany.
Joseph R DettoriSpectrum Research, Inc., Tacoma, Washington, United States.
Jong-Beom ParkDepartment of Orthopaedic Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea School of Medicine, Uijeongbu, Korea.
S Tim YoonDepartment of Orthopedics, Emory Spine Center, Atlanta, Georgia, United States.
Jeffrey C WangDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, United States.
University of Southern California · USBG Klinikum Bergmannstrost Halle · DECatholic University of Korea · KRColorado Orthopedic Consultants · USEmory University Orthopaedics and Spine Hospital · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review.

objectiveTo compare the effectiveness and safety between iliac crest bone graft (ICBG) and local autologous bone and allograft in the lumbar spine.

methodsA systematic search of multiple major medical reference databases identified studies evaluating spinal fusion in patients with degenerative joint disease using ICBG, local autograft, or allograft in the thoracolumbar spine.

resultsSix comparative studies met our inclusion criteria. A "low" strength of the overall body of evidence suggested no difference in fusion percentages in the lumbar spine between local autograft and ICBG. We found no difference in fusion percentages based on low evidence comparing allograft with ICBG autograft. There were no differences in pain or functional results comparing local autograft or allograft with ICBG autograft. Donor site pain and hematoma/seroma occurred more frequently in ICBG autograft group for lumbar fusion procedures. There was low evidence around the estimate of patients with donor site pain following ICBG harvesting, ranging from 16.7 to 20%. With respect to revision, low evidence demonstrated no difference between allograft and ICBG autograft. There was no evidence comparing patients receiving allograft with local autograft for fusion, pain, functional, and safety outcomes.

conclusionIn the lumbar spine, ICBG, local autograft, and allograft have similar effectiveness in terms of fusion rates, pain scores, and functional outcomes. However, ICBG is associated with an increased risk for donor site-related complications. Significant limitations exist in the available literature when comparing ICBG, local autograft, and allograft for lumbar fusion, and thus ICBG versus other fusion methods necessitates further investigation.

Indexed as

allograftautograftiliac crest bone graftlumbar fusion

Identifiers

PMID27556001
PMCPMC4993607
OpenAlexW2340387785

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.