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The success of lumbar interbody fusion, the key surgical procedure for treating different pathologies of the lumbar spine, is highly dependent on determining the patient-specific lumbar lordosis (LL) and restoring sagittal balance. This study aimed to (1) develop a personalized finite element (FE) model that automatically updates spinal geometry for different patients; and (2) apply this technique to study the influence of LL on post-fusion spinal biomechanics. Using an X-Ray image-based algorithm, the geometry of the lumbar spine (L1-

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