A spinal implant comprises a first member including a surface that extends between a first portion and a second portion. The first member defines a first implant cavity adjacent the first portion and a second implant cavity adjacent the second portion. The first implant cavity is spaced from the second implant cavity. The surface defines a medial cavity. A second member is movable relative to the first member. The second member includes a first end aligned with the medial cavity and a second end configured to penetrate tissue. Systems and methods are disclosed.