A bone fastener includes a head, an elongated shank defining a longitudinal axis having a proximal end and a distal end. The proximal end is connected to the head and the elongated shank has an inner surface defining a longitudinal cavity disposed along the longitudinal axis and at least one transverse cavity positioned in the elongated shank. The inner surface defining the transverse cavity and the elongated cavity as well as the outer surface of the elongated shank has bone conductive material disposed thereon so as to promote bone growth into the transverse cavities, elongated cavity and on the surface of the elongated shank in order to secure the bone fastener to bone. The distal end of the bone fastener can be configured to have cutting features that cut into bone and self-pack the elongated cavity with autograft material as it is inserted into bone.
