An extender comprises a first extension including a first wall and extending between a proximal end and a distal end. The first wall defines an axial cavity including a distal portion, at least one ramp and a proximal portion. A second extension includes a projection. The projection is disposable in a first position with the distal portion of the axial cavity and the distal end of the first extension is disposed in a non-expanded orientation. The projection is slidably engageable with the at least one ramp for movement to a second position such that the projection is disposed with the proximal portion of the axial cavity and the distal end of the first extension is disposed in an expanded orientation. Methods of use are disclosed.