There are disclosed techniques for positioning a connecting element adjacent one or more bones or bony portions, such as the spinal column, through a minimally invasive surgical approach. The system generally includes at least one bone anchor engageable to the one or more bones or bony portions and at least one extender removably engaged to the bone anchor. A connecting element is movable into the patient and guided by the at least one extender to a first position in the patient. A second bone anchor and extender is then inserted into the patient and engaged to a bony portion. The connecting element is then moved from the at least one extender to extend to the second bone anchor and second extender. The connecting element is then engaged to each of the bone anchors.