Transcorporeal spinal decompression and repair systems and related methods

A surgical system to form and repair an access channel through a vertebral body, the channel having an anterior surface entry and a posterior surface opening, the system comprising:

• a trajectory control tool comprising a fastening portion configured to secure the tool to the anterior surface of the vertebral body, the tool further comprising a trajectory control sleeve configured to receive at least a portion of a bone cutting tool, the sleeve configured to guide the cutting tool to form the access channel with a trajectory from the anterior entry to the posterior surface opening, the fastening portion being laterally spaced apart from the sleeve by a predetermined distance on the anterior surface of the vertebral body;
• and
• an implant comprising a plug portion and a fastening portion separated by the same distance as in the trajectory control tool.