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There have been an overall total of 14 (21.87percent) major, small and mechanical problems. There have been no procedure-related mortalities. The normal COMI and Eq5d results improved substantially post-surgery, and also this improvement was maintained at a mean followup all the way to 2 yrs. Conclusions Multilevel posterior interbody fusion is a safe procedure, and in selected instances may result in good medical and radiological effects with enhancement in-patient quality of life. 2019 Journal of S