PROBLEM TO BE SOLVED: To provide a spinal implant system. SOLUTION: The vertebral implant system 10 includes an interbody implant 12, an interbody implant having a first member 14, a tissue engaging surface and at least one including a tissue engaging surface and at least one engaging element. Includes a second member 16 that includes an engaging element and an intermediate member 18 that includes at least one engaging element. The spinal implant system is also connectable to at least one of the members in order to engage adjacent engaging elements and secure the intermediate member to at least one of the first and second members. Includes intraoperative surgical tools. [Selection diagram] Fig. 1【課題】脊椎インプラントシステムを提供する。【解決手段】脊椎インプラントシステム１０は、椎体間インプラント１２を含み、椎体間インプラントは組織係合面及び少なくとも１つの係合要素を含む第１の部材１４、組織係合面及び少なくとも１つの係合要素を含む第２の部材１６、および少なくとも１つの係合要素を含む中間の部材１８を含む。脊椎インプラントシステムは、さらに、隣接する係合要素を係合させ中間の部材を第１の部材と第２の部材の少なくとも一方と固着するために、それら部材のうちの少なくとも１つと接続可能である術中外科工具を含む。【選択図】図１
