According to one exemplary embodiment, a pivotable interbody spacer (100) system includes an insertion instrument (200) configured to manipulate a pivotable interbody spacer (100) during surgical insertion, wherein the insertion instrument (200) includes means for coupling the interbody spacer (100) and a means for fixing the angular position of the interbody spacer. According to one exemplary method for inserting the interbody spacer (100) in a spinal disc space, the interbody spacer (100) is coupled to the insertion instrument (200) and fixed at a first angular position； the interbody spacer (100) is inserted into the surgical site； the interbody spacer (100) is released from the first angular position； the insertion instrument (200) is pivoted about the coupling such that the interbody spacer (100) is in a second angular position； the angular position of interbody spacer (100) is fixed in the second angular position； the insertion process continues until the interbody spacer (100) is positioned in the desired location.
