Intervertebral spacers and related methods and instruments

1. An intervertebral spinal implant, comprising:

a base portion; and

a secondary portion comprising at least one opening configured to receive at least one fastener for engaging a vertebral body of a patient's spine,

wherein:

the secondary portion wholly defines a front end wall surface of the intervertebral spinal implant;

the base portion and the secondary portion collectively define at least one of an upper surface and a lower surface of the intervertebral spinal implant;

the at least one opening comprises a plurality of protrusions positioned along a surface of the at least one opening that engage with respective recessions positioned about a proximal portion of the at least one fastener; and

the plurality of protrusions are defined by two opposing ramped surfaces that lead to a central portion of each protrusion of the plurality of protrusions.

2. The intervertebral spinal implant of claim 1 , wherein the central portion comprises an at least substantially flat surface.

3. The intervertebral spinal implant of claim 1 , wherein the two opposing ramped surfaces each comprise a flat surface positioned at an angle with respect to the central portion.

4. The intervertebral spinal implant of claim 1 , wherein the two opposing ramped surfaces each comprise a concave surface.

5. The intervertebral spinal implant of claim 1 , wherein the plurality of protrusions are arranged in a helical pattern about the surface of the at least one opening.

6. The intervertebral spinal implant of claim 5 , wherein the helical pattern substantially matches a corresponding helical pattern of threads of the at least one fastener.

7. The intervertebral spinal implant of claim 5 , wherein the plurality of protrusions are tapered such that the height of each of the plurality of protrusions increases from a proximal portion of the at least one opening to a distal portion of the at least one opening.

8. The intervertebral spinal implant of claim 1 , wherein the respective recessions are arranged in a helical pattern or a circular pattern.

9. The intervertebral spinal implant of claim 1 , wherein the at least one fastener is a bone screw.

10. The intervertebral spinal implant of claim 9 , wherein the respective recessions are positioned in a threaded section of the proximal portion of the bone screw.

11. The intervertebral spinal implant of claim 9 , wherein the respective recessions are positioned in an unthreaded section of the proximal portion of the bone screw.

12. The intervertebral spinal implant of claim 1 , wherein the base portion comprises a first material and the secondary portion comprises a second material that is distinct from the first material.

13. An intervertebral spinal implant, comprising:

a base portion comprising a plurality of openings; and

a plurality of secondary fastener portions comprising at least one protrusion on an outer surface configured to be received in a groove formed within the plurality of openings in the base portion and a plurality of protrusions positioned along an inner surface configured to engage with respective recessions positioned about a proximal portion of a respective fastener,

wherein:

each of the plurality of secondary fastener portions is configured to be received in one of the plurality of openings in the base portion,

each of the secondary fastener portions is configured to engage with the respective fastener such that the respective secondary fastener portion is positioned in between the respective fastener and the base portion; and

the plurality of protrusions are defined by two opposing ramped surfaces and a central portion formed between the opposing ramped surfaces; and

each of the plurality of secondary fastener portions comprises an internal thread which extends about an internal periphery of each respective one of the plurality of secondary fastener portions between about one turn and about two turns.

14. The intervertebral spinal implant of claim 13 , wherein the base portion comprises a first material and the plurality of secondary fastener portions comprise a second material distinct from the first material.

15. The intervertebral spinal implant of claim 13 , wherein the respective fastener is a bone screw and the respective recessions are positioned in an unthreaded section of the proximal portion of the bone screw.

16. An intervertebral spinal implant, comprising:

a base portion comprising a plurality of openings; and

a plurality of secondary fastener portions comprising at least one protrusion on an outer surface configured to be received in a groove formed within the plurality of openings in the base portion and a plurality of protrusions positioned along an inner surface configured to engage with respective recessions positioned about a proximal portion of a respective fastener,

wherein:

each of the plurality of secondary fastener portions is configured to be received in one of the plurality of openings in the base portion,

each of the secondary fastener portions is configured to engage with the respective fastener such that the respective secondary fastener portion is positioned in between the respective fastener and the base portion; and

the plurality of protrusions are defined by two opposing ramped surfaces and a central portion formed between the opposing ramped surfaces;

wherein the plurality of protrusions is arranged in a helical pattern about the inner surface of each of the plurality of the secondary fastener portions that substantially matches a corresponding helical pattern of threads of the respective fastener.

17. The intervertebral spinal implant of claim 16 , wherein the base portion comprises a first material and the plurality of secondary fastener portions comprise a second material distinct from the first material.

18. The intervertebral spinal implant of claim 16 , wherein the respective fastener is a bone screw and the respective recessions are positioned in an unthreaded section of the proximal portion of the bone screw.