Instruments and methods are provided for re-positioning and extracting spinal implants in a space between vertebrae. The instruments can include rotator instruments, hook instruments, and extractor instruments engageable to the implant. A method for manipulating a spinal implant in a space between vertebrae includes positioning a spinal implant in the space between vertebrae engaging the spinal implant with a hook member at a distal end of a hook instrument pulling the spinal implant toward an opening into the space between the vertebrae grasping the spinal implant with an engaging assembly of an extractor instrument and removing the spinal implant from the space with the extractor instrument.