A rod inserter and method of inserting a rod into a vertebral body, wherein the rod inserter holds a rod in a vertical or semi-vertical position from one end and allows the rod to be inserted and then rotated into its final horizontal position inside a wound. The device comprises a longitudinal member comprising holes located at distal ends of the longitudinal member; and a holder comprising a tip end comprising a first and second portion any of which comprise a prong tip. The holder also includes a handle end located distally away from the tip end, wherein the handle end comprises a first gripping arm and a second gripping arm; and an engaging member comprising tooth-like features connecting the first gripping arm to the second gripping arm, wherein the tooth-like features engage the second gripping arm, and wherein the prong tip fits into a hole of the longitudinal member.