Erosions and built-up of Ti oxide on explanted Nitinol spinal rods are observed. The damage is localized in the area where rods were in contact with Ti pedicle screw. Nitinol has lower resistance to fretting corrosion compared with Ti6Al4V and CoCr. Corrosion patterns on explanted and laboratory tested Nitinol rods are similar. Nitinol rods performance improves in pedicle screws with stiffer locking mechanism.