Spinal fusion implant and related methods

1. An implant dimensioned for insertion at least partially between adjacent first and second vertebral bodies comprising:

an implant region dimensioned to be inserted at least partially within the disc space, comprising first and second lateral sides, a leading end, a trailing end, and opposing superior and inferior surfaces at least partially engaging the surfaces of the adjacent vertebral bodies from within the disc space, the trailing end comprising a superior supplemental fixation aperture and an inferior supplemental fixation aperture, each dimensioned to receive a fixation element;

a first flange region extending superiorly from the trailing end of the implant and dimensioned to engage at least a portion of the first vertebral body, the first flange region including a first fixation aperture dimensioned to receive a fixation element; and

a second flange region diametrically opposed from the first flange region and extending inferiorly from the trailing end of the implant and dimensioned to engage at least a portion of the second vertebral body, the second flange region including a second fixation aperture dimensioned to receive a fixation element;

wherein the superior supplemental fixation aperture is positioned at a predetermined angle to effect insertion of a fixation element at least partially through the intervertebral disc space into the second vertebral body and the inferior supplemental fixation aperture is positioned at a predetermined angle to effect insertion of a fixation element at least partially through the intervertebral disc space into the first vertebral body.

2. The implant of claim 1 , wherein the fixation aperture of the first flange is positioned in a first predetermined angle to effect insertion of a fixation element into the adjacent superior vertebral body, and the fixation aperture of the second flange is positioned in a second predetermined angle to effect insertion of a fixation element into the adjacent inferior vertebral body.

3. The implant of claim 2 , wherein the first and second predetermined angles are at least one of equivalent and non-equivalent.

4. The implant of claim 1 , wherein at least one of the first fixation aperture, the second fixation aperture, and the supplemental fixation aperture comprises any one of a threaded, ratcheting and anti back-out structure.

5. The implant of claim 1 , wherein the implant comprises a fusion chamber radially defined by the leading end, trailing end, and first and second sides, the fusion chamber dimensioned to be at least partially in communication with the surfaces of the first and second vertebral bodies.

6. The implant of claim 1 , wherein the implant further comprises an insertion aperture extending through the trailing end and dimensioned to receive at least a portion of an insertion tool.

7. The implant of claim 1 , wherein the fixation elements comprise any one of a screw, nail, wire, stable, suture tack and rivet.

8. The implant of claim 1 , wherein the implant comprises at least one of an allograft bone, autograft bone, polymer composition, plastic, ceramic, carbon fiber and metal.