The present invention includes an apparatus for securing a spinal rod with an anchoring device, the apparatus including a tubular body defining a longitudinal axis from a proximal end to a distal end; a connecting element positioned within the tubular body and along the longitudinal axis, the connecting element engaged by a first internal shaft and a second internal shaft, the tubular body, first internal shaft and second internal shaft coaxial with one another; the first internal shaft rotatably engages the connecting element such that rotation of the first internal shaft results in axial translation of the connecting element; and the second internal shaft engages the connecting element such that rotation of the second internal shaft results in rotation of the connecting element.