A vertebral body spacer of the present invention is used by being inserted between a vertebral body and a vertebral body (intervertebral space). The vertebral body spacer has a block body constituted of titanium or a titanium alloy as a main component thereof, and provided with a pair of contact surfaces to be made contact with the vertebral body and the vertebral body. The block body includes a frame-shaped dense part and a porous part provided inside the dense part, and a porosity of at least a surface of the porous part is larger than a porosity of the dense part. According to the present invention, it is possible to maintain an appropriate size between the vertebral bodies (intervertebral space).