Inclusion Criteria:  Subject is above 20 years of age; Subject is indicated for A-SPINE Spinal Fixation System; Subject is willing and able to provide informed consent to participate in the study; Subject is willing and able to understand the purpose of the study, his/her role, and is available to return to the clinic/hospital for all required follow-up visits.  Exclusion Criteria:  Subjects will be excluded if, in the opinion of the Investigator, the subject does not qualify based on approved labeling requirements or Subject Inclusion Criteria.