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Spinal Instrumentation refers to the surgery done in order to strengthen the spine by implant titanium, titanium-alloy, stainless steel, or other non-metallic devices. Although a complex and intricate procedure, it guarantees permanent solution to spinal instability. The implants include rods, hooks, braided cable, plates, screws, and inter body cages. On the other hand, Spinal Fusion is a process that utilizes bone grafting cause two opposing bony surfaces to grow together.