A method for treating vertebrae includes the steps of: providing a first penetrating element and a second penetrating element disposing a first penetrating element with a first vertebral body disposing a second penetrating element with a second vertebral body removing the first penetrating element from the first vertebral body providing a spinal implant including at least a first opening and a second opening disposing the spinal implant adjacent the vertebral bodies such that second opening is aligned with the second penetrating element providing a fastener aligning the fastener with the first opening and attaching the fastener with the first vertebral body. Systems and devices are disclosed.
