A fusion cage having a substantially continuous sidewall made from any of various materials including titanium, PEEK, a carbon graphite fiber, or even a combination of these materials. A hollow core defined by the sidewall is typically filled with bone graft in order to form a solid fusion with vertebrae. The sidewall of the cage has upper and lower surfaces, an anterior section, at least two lateral sections each connected to the anterior section, and a posterior section connected to the lateral sections. The sidewall is preferably tapered at one of either a four or eight degree incline from the posterior to the anterior section so as to maintain backbone curvature. A plurality of distinct tool ports provide for anterior, lateral and/or anterolateral insertion of the device. Each tool port is provided with screw insertion orifices.