An apparatus for use with a spinal implant includes a handle structure (12) with a passage (41). A shaft (14) is moveable within the passage. A pair of paddles (18) with distal ends to be positioned between vertebrae are attached by their proximal ends to the handle structure and each have a longitudinal slot (109). A pusher block (20) with a forward surface configured to engage an implant (22) is connected to the shaft and is positioned between the paddles. A rod (86a) comprising a central portion (88a) with two offset arms (90a) extending from it is rotatably connected to the pusher block with its arms movable in the slots
