A surgical implant insertion system for deployment and removal of an implant into a vertebral body. The system includes an actuation rod, an actuator handle coupled to the actuation rod, and an inserter locking tube disposed over the actuation rod and coupled to an inserter handle. Upon insertion of the implant into the vertebral body using the inserter handle, the actuator handle is turned causing the actuation rod to expand or compress the implant disposed at a distal end of the inserter locking tube.
