A spinal rod insertion instrument includes a hollow,monolithic body having a proximal end and a distal end. Thebody defines a passageway that extends along a first axisbetween the proximal and distal ends. The distal end includesfirst and second arms defining a slot therebetween. The firstand second arms are configured to releasably retain a spinalrod therebetween. Also provided is a method of securing aspinal rod to a coupling element attached with a pediclescrew.