A hinged bone screw and tool set is used for implanting such
bone screws in a
human spine, followed by the implantation of a longitudinal connecting member into the
bone screws. The hinged bone screw includes a shank with an upper portion and a
receiver with integral arms forming a U-shaped channel. A lower curved seat partially defining the U-shaped channel cooperates with an upper portion of the bone screw shank for hinged movement of the shank with respect to the
receiver. The tool set includes an
insertion tool, a bone screw driver, a reduction tool and a closure
starter. The
insertion tool includes a bone screw attachment structure and a laterally opening channel. The
insertion tool further includes a threaded portion for cooperation with the reduction tool to provide synchronized placement of a closure structure in the bone screw
receiver while reducing and capturing a longitudinal connecting member within the receiver. Further alternative
bone screws are hinged, polyaxial or fixed and include lordosing or kyphosing lateral surfaces.