An improved joint fusion screw for transiliac fixation has an elongate hollow shaft. The hollow shaft has an externally threaded end portion extending to a tip end and a non-externally threaded shank portion having openings. The tip end has at least two bone cutting flutes at the bottom of the shaft. Each bone cutting flute has a cutting edge on a circumferential exterior of the threaded tip to cut bone and direct the cut bone internally into the hollow shaft toward the shank.
