Self in-fusing pedicle screw implant

A method of implanting an anchoring system, the method comprising:

• providing a screw system comprising:
• a screw including a screw head, a screw shaft and a plurality of interface elements, each pair of the interface elements having an interface by-pass channel located therebetween;
• a boring ring including an upper surface, a lower surface, a wall portion extending between the upper surface and the lower surface, and a plurality of cutting teeth along the wall portion extending longitudinally from the upper surface to the lower surface;
• and
• a coupling assembly that is adjustable with respect to a longitudinal axis of the screw, the coupling assembly being adapted to attach to the screw head;
• inserting the coupling assembly and the boring ring into a cavity of a boring driver, wherein the boring driver further includes a boring driver handle, a boring driver shaft, and a boring driver head, wherein the cavity is formed in the boring driver head, wherein the boring driver head includes teeth at its distal end configured to cut into tissue and bone;
• inserting a screw driver through a channel formed through the boring driver, the channel terminating at the cavity formed in the boring driver head, wherein the screw driver is advanced through the channel until a distal end of the screw driver engages the screw head;
• and
• at least one of (a) driving the screw driver to drive the screw into a bone and (b) driving the boring driver such that the boring driver head cuts into tissue and/or bone.