A compression bone screw and a method of use thereof including a shank having longitudinally opposing first and second shank portions. The first shank portion is externally threaded with a first shank thread. The compression bone screw also including a first element threadingly mounted on the first shank portion by way of a first element internal thread threadingly engaging the first shank thread. The first element is externally threaded with a first element external thread and a second element is integrally formed with and by an enlargement of the second shank portion. The second element is externally threaded with a second element external thread, and the second element external thread and the first element external thread are like-handed.