An implantable bone conduction transducer arrangement includes a transducer housing having an outer surface with a side wall and opposing ends. A pair of fixation projections are connected to the transducer housing at one end. Each fixation projection includes a bone screw opening configured for insertion of a bone fixation screw to engage underlying skull bone. At least one fixation projection is configured to be independently moveable relative to the transducer housing to form an adjustable relative position between the fixation projections.