An insertion tool for inserting a spinal rod into a patient is provided. The insertion tool includes an upper body portion defining a first longitudinal axis, a handle assembly extending from the upper body portion, an elbow member connected to a distal end of the body portion, a lower body portion defining a second longitudinal axis, and a drive mechanism extending between the handle assembly and the lower body portion for controlling the selective engagement of the spinal rod. The lower body portion extends from the elbow and is configured to selectively engage a spinal rod.