Systems and methods for spinal fusion

A system for spinal fusion between adjacent vertebrae, the system comprising:

• an implant configured to be positioned in an interbody space between a first vertebra and a second vertebra,
• wherein the implant comprises a proximal wall, a distal wall, an anterior wall, a posterior wall, an upper surface configured to engage the first vertebrae, a lower surface configured to engage the second vertebrae, and a receiving aperture;
• and
• an insertion instrument configured to engage the receiving aperture of the implant and position the implant in the interbody space, wherein the insertion instrument comprises:
• an elongate element extending between a distal end and a proximal end, the elongate element having an inner bore extending therethrough;
• a distal head configured to couple to the distal end of the elongate element and dimensioned to engage the implant;
• and
• an inserter shaft disposed within the inner bore of the elongate element, wherein the inserter shaft comprises a distal end configured to extend through the distal head and engage the receiving aperture of the implant.