A spinal instrumentation system includes an oblong tension ring having a
tension screw receptacle, a pair of compression balls having passages
therethrough disposed within the tension ring, and a tension screw.
Threading the tension screw into the tension screw receptacle inhibits
movement of the compression balls relative to the tension ring and each
other, thereby making the system rigid. Fixation screws are inserted
through the passages in the compression balls and anchored in bone. One
of the fixation screws may be a screw designed to traverse the lamina and
including a scalloped segment. A pair of such systems may be posteriorly
attached to the vertebrae, one on either side of the spinous process, to
fuse the superior segment in a lumbar fusion procedure. The spinal
fixation screws traverse the lamina, crossing at their scalloped
segments.