Spinal implants for fusing and / or stabilizing spinal vertebrae and methods and apparatus for implanting one or more of such spinal implants axially within one or more axial bore within vertebral bodies in alignment with a visualized, trans-sacral axial
instrumentation / fusion (TASIF) line in a minimally invasive, low trauma, manner are disclosed. Attachment mechanisms are provided that attach or
affix or force the preformed spinal implants or rods to or against the
vertebral bone along the full length of a TASIF axial bore or bores or
pilot holes or at the cephalad end and / or caudal end of the TASIF axial bore or bores or
pilot holes. The engagement of the
vertebral body is either an active engagement upon implantation of the
spinal implant into the TASIF axial bore or a passive engagement of the external surface configuration with the
vertebral bone caused by
bone growth about the external surface configuration. A plurality of such spinal implants can be inserted axially in the same TASIF axial bore or
pilot hole or separately in a plurality of TASIF axial bores or pilot holes that extend axially and in a side-by-side relation through the vertebrae and discs, if present, between the vertebrae. Discectomies and / or vertebroblasty can be performed through the TASIF axial bore or bores or pilot holes prior to
insertion of the spinal implants. Vertebroblasty is a procedure for augmentation of collapsed vertebral bodies by pumped-in materials, e.g.,
bone cement or
bone growth materials. Materials or devices can also be delivered into the
disc space to separate the adjoining vertebrae and / or into damaged vertebral bodies or to strengthen them.