| CPC A61B 17/7034 (2013.01) [A61B 17/7001 (2013.01); A61B 17/7023 (2013.01); A61B 17/7032 (2013.01); A61B 17/705 (2013.01); A61B 17/7052 (2013.01); A61B 17/7079 (2013.01); A61B 17/7086 (2013.01); A61B 17/8863 (2013.01); A61B 2017/564 (2013.01); A61B 2017/565 (2013.01); A61B 2017/567 (2013.01); A61B 2017/681 (2013.01); A61B 17/701 (2013.01); A61B 17/7011 (2013.01); A61B 2090/037 (2016.02)] | 19 Claims |

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1. A bone screw comprising:
a bone fastener portion;
a permanent rod coupling comprising a lateral rod opening adapted to receive a permanent rod;
a temporary rod coupling comprising a temporary rod channel adapted to receive a temporary rod; and
a notched breakaway portion positioned between the permanent rod coupling and the temporary rod coupling and configured to allow breaking off of the temporary rod coupling from the permanent rod coupling,
wherein the permanent rod coupling further comprises a permanent rod fastener mated to fit a threaded bore to extend into the lateral rod opening, wherein the permanent rod fastener is configured to engage the permanent rod positioned in the lateral rod opening,
wherein the temporary rod coupling further comprises an upper rod fastener mated to an upper threaded opening, wherein the upper rod fastener is configured to engage the temporary rod positioned in the temporary rod channel, and
wherein the permanent rod fastener, the upper rod fastener, or both are threaded.
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