The present disclosure relates to a pedicle screw assembly comprising:a threaded shafta head including a housing and an elongated body integrally formed with the housing, the housing configured to receive a fixation element, the housing attached to the elongated body at a frangible neck, wherein the elongated body is adapted to be removed from the housing at the frangible neck and the elongated body has a length sufficient such that the elongated body extends above a patients skin when the screw is secured to the patients vertebra.