System and method for fusion cage implantation

A system and method facilitate insertion of a fusion implant into the intervertebral space of a spine. The fusion implant may have a first bone engaging surface and a second bone engaging surface. An attachment interface on an insertion tool allows the implant to be releasably secured to the insertion tool, so that the insertion tool may be detached from the implant without requiring a threaded coupling. The implant may be positioned in two different orientations with respect to the insertion tool to permit usage of two different techniques to insert the implant into the intervertebral space. A recessed support member in the implant creates gaps between bone facing surfaces and the vertebral bodies such that bone graft material may occupy the gaps. The implant includes embedded radiographic markers which facilitate radiographic detection of the orientation of the implant through the surrounding tissue.