To solve the mismatch between the comprehensive mechanical properties of the spinal fusion cage and body, a fusion cage inner hole design method based on controllable TPMS-P to characterize the inner hole structure is proposed to solve the related problems. Firstly, the method of TPMS-P parameterization was used to construct the bionic porous structure model, which was designed as the linear gradual internal porous structure model. Then, we optimized the topology of the obtained porous structure implants to achieve precise control of the overall comprehensive mechanical properties of the fusion cage structure and obtain an optimized model that matched the mechanical properties of the fusion cage. To verify whether the method met the requirements, its simulation model was established. The porous structure was fabricated by selective laser processing, and its properties were tested and analyzed. The results show that its yield strength is 79.83 MPa, which match well with spinal bone tissue.