[10] According to the inscriptions of Ur-Nammu, Puzur-Inshushinak conquered numerous cities in central Mesopotamia, including Eshnunna and Akkad, and probably Akshak.

[11] His conquests probably encroached considerably on Gutian territory, gravely weakening them, and making them unable to withstand the Neo-Sumerian revolt of Utu-hengal.

His achievements were not long-lasting, for after his death the linear script fell into disuse, and Susa was overrun by the Third dynasty of Ur under Ur-Nammu and his son Shulgi.

[15] It is now known that his reign in Elam overlapped with that of Ur-Nammu of Ur-III,[16] although the previous lengthy estimates of the duration of the intervening Gutian dynasty and rule of Utu-hengal of Uruk had not allowed for that synchronism.

Ur-Nammu, who styled himself "King of Sumer and Akkad" is probably the one who, early in his reign, reconquered the northern territories that had been occupied by Puzur-Inshushinak, before going on to conquer Susa.

[18][19] The statue lists the numerous victories of Puzur-Inshushinak over neighbouring territories, and particularly mentions the submission of the king of Shimashki who "kissed his feet".