An orthopedic implantation device that includes tulip element, a coupling wedge and a locking assembly, and a kit and method of use thereof are described herein. The coupling wedge is located in the bottom of the tulip element. The tulip element includes transverse slots for receiving the rod therein until the rod sits on the coupling wedge. The locking assembly includes a locking cap adapted to be received completely within the tulip element, and having flanges and tabs that cooperate with corresponding grooves in the tulip element. The locking assembly includes a cap set screw adapted to be received within a thru hole in the locking cap element.