A modular implant device for placement between two adjacent vertebrae during a surgical procedure. The implant device comprises a distractor/nosecone portion configured for placement in a first location between the vertebrae and providing distraction and fixation of a desired vertical separation between the vertebrae at the first location. An alignment guide being a long slender element has a first end inserted into the distractor/nosecone portion and extending away from the distractor/nosecone portion, where the alignment guide is used to position the distractor/nosecone portion in the first location between the vertebrae. A body portion is configured for placement in a second location between the vertebrae, providing distraction and fixation of a desired vertical separation between the vertebrae at the second location, where the body portion includes a bore to receive the alignment guide, and the body portion is translated along the alignment guide into position between the vertebrae.
