Studies show that with every successive fusion, outcomes become less successful, and the likelihood of residual pain increases. Patients who undergo multiple fusions often face a cycle of pain, reduced mobility, and the need for further surgical interventions. Recently, I had the privilege of working with a long-time patient who exemplifies this cycle. A highly active individual in his mid-60s, he had undergone multiple lumbar fusions extending from L1 to L5. Despite his rema