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to be an effective option for patients with concomitant bone fragility due to DISH. Patient-specific instrumentation is an emerging technology with the promise of a better fit to patient anatomy. With the advent of deformity correction planning software, prefabricated rods can mitigate the need to bend rods in the operating room. Prefabricated rods allow the surgeon to provide a deformity correction closely in line with the surgical plan. A retrospective chart review was completed, and all patients with Medicrea UNiD rod were included.