The invention relates to the technical field of medical appliances, in particular to a special bolt driver for a bone screw. The special bolt driver comprises a handle and a bolt driver body, and is characterized in that the front end of the bolt driver body is provided with two teeth; the back end of the bolt driver body is provided with a locating block; the teeth are made of stainless steel materials, dental cusps of the teeth are opposite; a direction-turning device groove is arranged in the handle; and a direction-turning device is arranged in the direction-turning device groove and formed by a rotating shaft, a gear wheel, a cone, a locating ball, a spring, the locating plate, a locating piece and a wrench pin. Because the structure is adopted, the special bolt driver for the bone screw can be detachably stored, is beneficial to carrying and disinfection, and has the advantages of novel structure, fastness, reduction of patient pains, convenience for installation and disassembling and the like.