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If you’ve ever stared at a CT scan wondering why your beautifully packed anterior lumbar interbody fusion (ALIF) hasn’t fused — and resisted the urge to blame “the patient’s biology” yet again — this one’s for you.

A new retrospective cohort study dives into the world of lipids, statins, and fusion biology, asking a question no one really expected: Does your patient’s cholesterol level secretly dictate whether their ALIF will heal…or ghost you?


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