Disclosed are surgical tools, tool sets and methods for percutaneously
accessing and preparing treatment sites within the spine for subsequent
treatment procedures. The treatment site may be an inter-vertebral motion
segments in the lumbar and sacral regions of the spine. The tool set may
comprise introducer tools and bone dilators for accessing and tapping
into a targeted site, such as, for example, the anterior surface of the
S1 vertebral body. The tool set may also comprise cutters and extractors
for preparing the treatment site for subsequent treatment procedures. The
tool set may additionally comprise a bone graft inserter, an exchange
system, and/or a temporary distraction tool for further preparing the
treatment site for subsequent treatment procedures.