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Numerous advances have been made in the field of spine fusion, such as minimally invasive (MIS) or robotic-assisted spine surgery. However, it is unknown how these advances have impacted the cost of care. Compare the economic outcomes of lumbar spine fusion between open, MIS, and robot-assisted surgery patients. Retrospective review of a single center spine surgery database. Three hundred sixty propensity matched patients. Costs, EuroQol-5D (EQ5D), cost per quality adjusted life years (QALY). Inclusion criteria surgical patients 18 ye