“…The majority of fusion procedures are performed via posterior approaches, with or without instrumentation, with or without additional interbody fusion techniques such as PLIF/TLIF or 360°fusions with additional anterior ALIF support [1,2]. However, a variety of negative side effects have been linked with the fusion of lumbar motion segments, including graft side morbidity, screw loosening, pseudarthrosis, sagittal imbalance, high rates of adjacent level pathologies, considerable complication and reoperation rates as well as mediocre clinical results [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19].…”