Systems and methods for placing spinal implants within an intervertebral region. In some embodiments, a surgical positioning tool may be provided that allows for access to an implantation site to be gained along a first axis, and then allows a spinal implant to be repositioned from the first axis to a second axis at an angle with respect to the first axis. The spinal implant may, in some embodiments, comprise a recess comprising two adjacent bars configured to engage elements of the surgical positioning tool to allow for the aforementioned repositioning.