A positioning device for positioning an orthopedic implant in a patient during a surgical procedure includes a first orthopedic fastener and a device body. The orthopedic fastener penetrates into a bone of the patient to secure the orthopedic implant to the bone. The device body is removably positionable at least partially subcutaneously within the patient. The device body can retract tissue of the patient and includes a first fastener guide that guides positioning of the first orthopedic fastener relative to the bone of the patient. The device body releasably secures the orthopedic implant during positioning of the orthopedic implant. The positioning device can also include an implant attacher that removably secures the orthopedic implant to the device body. The implant attacher movably extends through the device body along an attacher axis.