Pivotal lateral cage and method of insertion

A surgical kit comprising:

• an interbody spacer (100) said interbody spacer including an upper face (124) and an opposing lower face (126), a pair of side rails (104), a spindle (108) extending transversely and connecting said side rails at a proximal end (112), a center cross support (106) connecting said side rails at a central portion and a leading cross support (107) connecting said side rails at a distal end 114 of said interbody implant, said spindle (108) including a plurality of teeth (120) or other frictionally engaging features extending around the periphery thereof, said teeth arranged about an axis of rotation (138) extending through said transverse spindle (108) to provide various angles of engagement between an insertion tool (200) and said interbody spacer (100);
• an insertion tool (200) for use with said interbody spacer (100), said insertion tool (200) including a handle (210) configured to facilitate manual grasping thereof, a distal end of said insertion tool being constructed and arranged for grasping said spindle and subsequent manipulation of said pivotable interbody spacer (100), said manipulation including the ability to rotate said interbody spacer with respect to said insertion tool about said axis of rotation (138) without releasing said interbody spacer.