A vertebral body replacement device (10； 1000) comprising: a body element (30； 1100) comprising instrumental port (39； 1130) defined in an external wall (32； 1102) of the body element (30； 1100), a first terminal receptacle (33； 1133) extending in a first direction, and a second terminal receptacle (34； 1134) extending in a second direction opposite the first direction； a central rod element (40； 1200) having a first threaded portion (41； 1210), a second threaded portion (42； 1220), and a gear wheel portion (43； 1230), the central rod element (40； 1200) extends into the body element (30； 1100), and the gear wheel portion (43； 1230) has a toothed surface (44； 1232) and a support surface (45； 1234)； a first terminal element (20； 1300) and a second terminal element (20； 1400), the first terminal element (20； 1300) has a first terminal front comprising a hole defined therein and configured to slidably receive the first terminal receptacle (33； 1133) therein and a threaded hole that engages the first threaded portion (41； 1210) of the central rod element (40； 1200), and the second terminal element (20； 1400) has a first terminal front comprising a hole defined therein and configured to slidably receive the second terminal receptacle (34； 1134) therein and a threaded hole that engages the second threaded portion (42； 1220) of the central rod element (40； 1200), in which the first terminal element (20； 1300) limits the first terminal receptacle (33； 1133) internally and externally in a radial direction with respect to a longitudinal axis (72； 1201) of the body element (30； 1100), and he great terminal element (20； 1400) limits the second terminal receptacle (34； 1134) internally and externally in a radial direction with respect to the longitudinal axis (72； 1201) of the body element (30； 1100)； and the body element (30； 1100), first terminal element (20； 1300) and second terminal element (20； 1400) inhibit the rotational movement of the first and second terminal elements (
