Abstract: Intervertebral implant system for intervertebral implantation, are disclosed. An intervertebral implant system according to the present disclosure includes a frame having a peripheral wall defining a space therein, and a settable material introducible into the space of the frame. The settable material is a biocompatible load bearing material including and not limited to bone, composites, polymers of bone growth material, collagen, and insoluble collagen derivatives. The settable material is injectable into the space defined by the frame. The settable material may have an initial fluid condition wherein the fluid settable material cures to a hardened condition.

Abstract: A chisel with distal cutting edges, used to form channels in adjacent vertebrae, includes a shank having a longitudinal axis and a cutting head coupled to the distal end of the shank. The cutting head includes distal cutting edges, which may be linear, arcuate, or V-shaped, and a guide member, which may be hollow or formed as two spaced members, to guide the chisel into the disc space to uniformly chisel both adjacent vertebrae simultaneously to partially form a channel in the vertebrae. The guide member and cutting head may have openings for distributing cut debris to the top and bottom surfaces of the head. The guide member may also include distal transverse, longitudinal side and/or vertical cutting edges, some of which may be in stepped relationship, for further cutting the endplates and removing disc material from between adjacent vertebrae, and for scraping of endplates. Other embodiments are disclosed.