Spinal implants and related instruments and methods

1. A spinal implant, comprising:

a first sidewall;

a second sidewall opposite from the first sidewall;

an upper surface configured for engaging a first vertebra;

a lower surface configured for engaging a second vertebra adjacent to the first vertebra;

a first end wall joining the first sidewall and the second sidewall at a first end of the spinal implant;

a second end wall joining the first sidewall and the second sidewall at a second end of the spinal implant opposite from the first end, wherein the second end wall defines a second end wall surface;

a v-shaped protrusion formed in the second end wall comprising a first surface and a second surface; and

an opening positioned within the first surface of the protrusion in the second end wall at an angle of about 10 degrees to about 45 degrees with respect to an arcuate axis of the spinal implant, wherein the opening comprises a threaded region formed within an integral portion of the spinal implant so as to be fixed relative to the second end wall, wherein the opening is defined by an external peripheral edge formed in the second end wall of the spinal implant and by an internal peripheral edge opposite from the external peripheral edge, wherein the threaded region is spaced apart from the second end wall surface, wherein the threaded region is spaced apart from the external peripheral edge and internal to the external peripheral edge, and wherein the threaded region is spaced apart from the internal peripheral edge such that the threaded region is spaced apart from both opposing ends of the opening.

2. The spinal implant of claim 1 , wherein the spinal implant further comprises an expanded region within the opening.

3. The spinal implant of claim 2 , wherein the expanded region comprises a diameter greater than a diameter of at least a portion of the opening adjacent to the expanded region, and wherein the expanded region is configured to provide clearance for threads on a threaded section of an installation rod.

4. The spinal implant of claim 2 , wherein the expanded region is defined by a frustoconical shape that tapers so as to expand the diameter of the opening towards a proximal end of the opening.

5. The spinal implant of claim 1 , wherein the spinal implant further comprises notches formed in the upper surface and the lower surface of a nose at least partially defined by the first end wall.

6. The spinal implant of claim 1 , wherein the spinal implant further comprises at least one fin positioned along a peripheral edge of at least one of the first and second sidewalls.

7. The spinal implant of claim 6 , wherein the at least one fin comprises a partial fin that extends only along a peripheral edge of a nose of the spinal implant at least partially defined by the first end wall.

8. The spinal implant of claim 6 , wherein the at least one fin comprises a first fin formed on the upper surface and a second fin formed on the lower surface.

9. A spinal implant system, comprising:

a spinal implant comprising a v-shaped protrusion having a first surface and a second surface; and an at least partially threaded opening within the first surface of the protrusion at an angle of about 10 degrees to about 45 degrees with respect to an arcuate axis of the spinal implant, the opening configured to receive an installation rod for installing the spinal implant within an intervertebral space of a patient, wherein the opening is positioned within a fixed wall of the spinal implant, and wherein the opening comprises a peripheral edge defined by the wall of the spinal implant;

an inserter configured to receive an installation rod therethrough;

an intermediary piece configured to be coupled with the spinal implant and the inserter in between the spinal implant and a distal end of the inserter, wherein the intermediary piece is configured to receive an installation rod therethrough, wherein the intermediary piece comprises at least one of a protrusion and a recess configured to engage at least one of a recess and a protrusion formed in the spinal implant; and

an installation rod configured to be positioned within the opening, wherein the installation rod comprises an engagement section configured to engage a portion of the spinal implant defining the opening at a location internal to the peripheral edge such that the highest forces applied to the spinal implant in coupling the spinal implant with the installation rod during installation of the spinal implant are not applied to the portion of the opening defined by the peripheral edge.

10. The spinal implant system of claim 9 , wherein the installation rod comprises a threaded section configured to engage the opening at a location spaced apart from the peripheral edge.

11. The spinal implant system of claim 10 , wherein the spinal implant further comprises an expanded region within the opening extending from the peripheral edge, wherein the expanded region comprises a diameter greater than a diameter of at least a portion of the opening adjacent to the expanded region, and wherein the expanded region is configured to provide clearance for threads on the threaded section of the installation rod.

12. The spinal implant system of claim 9 , wherein the spinal implant further comprises a fin extending along an upper surface of the spinal implant.

13. The spinal implant system of claim 12 , wherein the spinal implant comprises a convex side wall surface, and wherein the fin is positioned adjacent to the convex side wall surface.

14. The spinal implant system of claim 12 , wherein the spinal implant further comprises a second fin extending along a lower surface of the spinal implant adjacent to the convex side wall surface.

15. A spinal implant system, comprising:

a spinal implant comprising a v-shaped protrusion having a first surface and a second surface; and an opening within the first surface of the protrusion at an angle of about 10 degrees to about 45 degrees with respect to an arcuate axis of the spinal implant, the opening configured to receive an installation rod for installing the spinal implant within an intervertebral space of a patient, wherein the opening is positioned within a fixed wall of the spinal implant, and wherein the opening comprises a peripheral edge defined by the wall of the spinal implant; and

an installation rod configured to be positioned within the opening, wherein the installation rod comprises a threaded section and an engagement section configured to engage a portion of the spinal implant defining the opening at a location internal to the peripheral edge such that the highest forces applied to the spinal implant in coupling the spinal implant with the installation rod during installation of the spinal implant are not applied to the portion of the opening defined by the peripheral edge, wherein the opening is at least partially threaded, wherein the spinal implant further comprises an expanded region within the opening extending from the peripheral edge, wherein the expanded region comprises a diameter greater than a diameter of at least a portion of the opening adjacent to the expanded region, and wherein the expanded region is configured to provide clearance for threads on the threaded section of the installation rod.

16. The spinal implant system of claim 15 , wherein the threaded section is configured to engage the opening at a location spaced apart from the peripheral edge.

17. The spinal implant system of claim 15 , wherein the installation rod further comprises:

a first unthreaded section positioned adjacent to and distally of the threaded section; and

a second unthreaded section positioned adjacent to and proximally of the threaded section, wherein the first unthreaded section and the second unthreaded section both comprise a diameter less than a major diameter of the threads of the threaded section.