| CPC A61B 17/7037 (2013.01) [A61B 17/7032 (2013.01)] | 22 Claims |

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1. A bone anchoring device comprising:
a bone anchoring element comprising a shaft and a head;
a receiving part for receiving a rod for coupling the rod to the bone anchoring element, the receiving part comprising:
a receiving part body having a first end, a second end below the first end, a channel at the first end for receiving the rod, an engagement surface for engagement with a separate closure element for locking the rod in the channel, an accommodation space for accommodating the head of the bone anchoring element, and an opening at the second end sized for inserting the head therethrough into the accommodation space; and
a pressure element insertable upwards through the opening of the receiving part body and configured to be positioned at least partially in the accommodation space, the pressure element comprising a rod contacting surface configured to extend into the channel of the receiving part body to contact the rod;
wherein when the pressure element is in the receiving part body at an insertion position of the receiving part, the head is insertable upwardly past the opening of the receiving part body to a seat that directly engages the head to restrict the head from falling back out of the receiving part body through the opening; and
wherein the receiving part is adjustable from the insertion position to a pre-locking position where the head is prevented from being removed from the receiving part body through the opening and where the receiving part is restricted from being adjusted back towards the insertion position.
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