Bone anchoring device

A method of coupling a rod to a bone using a bone anchoring device comprising an anchoring element having a shank and a head, a receiving part having a central axis and defining a coaxial passage configured to pivotably receive the head such that the shank can assume a plurality of angular positions relative to the receiving part, a pressure member defining a head receiving recess for pivotably holding at least a portion of the head therein, and a fixation element, the method comprising:

• anchoring the shank of the bone anchoring device in a bone;
• adjusting an angular position of the receiving part relative to the shank when the head and the pressure member are in the receiving part, wherein the head includes a first position indication structure configured to engage a second position indication structure of the bone anchoring device when the shank assumes a first angular position from among the plurality of angular positions relative to the receiving part, and wherein the first and second position indication structures are disengaged from one another when the shank is at an angular position different from the first angular position relative to the receiving part;
• connecting the rod to the receiving part;
• inserting the fixation element into the receiving part;
• and
• advancing the fixation element in the receiving part to move the pressure member in the passage to exert pressure on the head for clamping the head in the receiving part.