Abstract: A vertebral replacement implant for interposition in a space left by one or more at least partially removed vertebrae between adjacent intact vertebrae. The implant has a connecting body with opposite ends sized to span at least a portion of the space between the intact vertebrae and two end pieces that are provided for attachment to the opposite ends of the connecting body. For anchoring the implant into the adjacent intact vertebrae, a cutting screw blade is provided on the end pieces so that these end pieces can be screwed into the intact vertebrae. In this way, a rigid fixation of the two adjacent intact vertebrae can be obtained thus enabling fusion thereof by bone growth without the use of an additional lateral support assembly.