A circumferential vertebral column fixation systems includes an elongated engagement bar including at least two spaced apart fastener holes configured to be positioned within a vertebral body or other spinal bony segment such that fasteners inserted into the vertebral body or spinal bony segment are provided with an anchor point to help prevent fastener pull out. The engagement bar can further include a locking bar disposed within the engagement bar which can lock the fasteners to the engagement bar. Methods of using the circumferential vertebral column fixation system are also disclosed.
