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Your spine is a quest item in the Fallout: New Vegas add-on Old World Blues.
The Courier's spine is removed by the Sink Auto-Doc, together with their heart and brain upon arrival in the Big MT.
During the quest Old World Blues, the spine appears in The Sink and from this point on, can be returned at any time in the Courier's body (as well as removed again) via the Sink auto-doc.
- Despite the fact that according to the game-mechanics it is part of the spine, it can't be taken from the inventory.
- Returning the spine in the Courier's body will replace the Spineless perk with Reinforced Spine.