Spinal implant systems, apparatus, and methods of use are provided. One such apparatus for holding an implantable spinal device includes a base having a generally flat first surface and a second surface spaced apart from the first surface. The base has a third surface between the first and second surfaces and generally orthogonal to at least one of the first and second surfaces. The base further includes a fourth surface spaced apart from the third surface. At least one cavity is provided in the base, with the cavity being accessible through the base second and fourth surfaces, and adapted to receive the implantable spinal device. In some embodiments, the spinal implant has an opening accessible through the fourth surface when the spinal device is positioned in the cavity. In this manner, bony growth-promoting substances may be inserted into the implant when the implant is positioned in the apparatus.