A method and device are provided that support a surgeons work in siting and fixating a surgical screw into bone tissue. A first device is provided that removably couples with a previously fixated first surgical screw while the first surgical screw is fixated within a bone. The device may include a handle and an adjustable guide element. The handle presents a coupling element that detachably couples with the first surgical screw. The guide element helps a surgeon site an additional screw for placement into bone tissue. The guide element is adjustably positionable relative to the handle along a linear axis and optionally rotationally about the same axis. The handle may optionally be adjustable to enable positioning of the guide element along a second axis extending from the bone, whereby the guide element may alternately be positioned closer to or further away from the first surgical screw.
