This prospective study evaluated the outcomes of 27 patients who underwent a 2-level axial lumbar interbody fusion with a minimum 2-year follow-up. Clinical outcomes were measured using the Visual Analog Scale for back and leg pain and Oswestry Disability Index. Radiographic evaluation included standing x-rays, flexion-extension x-rays, and CT scans to assess fusion. The results demonstrated good clinical outcomes with reduced back pain and disability. However, radiographic evaluation found pseudarthrosis in 7 patients, and 3 patients required reoperation. Therefore, while this technique provided pain relief, the fusion rate was insufficient and complications were observed in some patients. Larger and longer-term studies are still needed to draw definitive conclusions