A spinal construct comprises at least one tether including a first end connectable with a first fastener connected with spinal tissue and a second end connectable with a second fastener connected with spinal tissue. The at least one tether has a tension between the fasteners. A member defines an axis and includes an element disposed transverse relative to the axis. The element is engageable with the at least one tether. The member further includes a drive engageable with the dement to adjust the tension. Systems, implants and methods are disclosed.
