The present invention includes an apparatus for securing a spinal rod with an anchoring device, the apparatus including a tubular body defining a longitudinal axis from a proximal end to a distal end a connecting element positioned within the tubular body and along the longitudinal axis, the connecting element engaged by a first internal shaft and a second internal shaft, the tubular body, first internal shaft and second internal shaft coaxial with one another the first internal shaft rotatably engages the connecting element such that rotation of the first internal shaft results in axial translation of the connecting element and the second internal shaft engages the connecting element such that rotation of the second internal shaft results in rotation of the connecting element.
