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Conclusions The results of this study suggest that it is not necessary to avoid bone grafts that are concerned about postoperative infection. © The Author(s) 2020.The gut and lungs are anatomically distinct, but potential anatomic communications and complex pathways involving their respective microbiota have reinforced the existence of a gut-lung axis (GLA). Compared to the better-studied gut microbiota, the lung microbiota, only considered in recent years, represents a more discreet part of the whole microbiota associated to human hosts. While the vast maj