Variable angle spinal fixation system

A spinal fixation system comprising:

• a longitudinal member positionable along a spinal column;
• a fastener having a threaded end for engaging a vertebra;
• and
• a connector member for connecting the longitudinal member and the fastener at any one of a plurality of surgeon selected angles obtained by pivoting the connector member with respect to the fastener, said connector member having:
• a channel extending through side surfaces of the connector member for receiving the longitudinal member;
• a longitudinal member clamping element for securing the longitudinal member in the channel;
• an opening laterally displaced from the channel and extending through top and bottom surfaces of the connector member for receiving the fastener;
• and
• a fastener clamping element for securing the fastener in the opening at the surgeon selected angle relative to the connector member and longitudinal member,
• wherein the channel is open to allow insertion and alignment of the longitudinal member with respect to the fastener prior to being secured by the longitudinal member clamping element.