A bone fixation system includes a bone fastener and a tower including a first thread formed on an inner surface at a first end thereof. The bone fixation system also includes a coupling assembly connected to the bone fastener and the first end of the tower. The coupling assembly includes a coupling unit including a second thread formed on an inner surface at an upper portion thereof and adjoining the first thread, and a set screw including a third thread configured to mate with the first thread and the second thread. The coupling unit is configured to compensate a thread pitch mismatch between the first thread and the second thread.