A polyaxial bone screw assembly includes a threaded shank body having an
upper capture structure, a head and a multi-piece retainer, articulation
structure. The geometry of the retainer structure pieces corresponds and
cooperates with the external geometry of the capture structure to
frictionally envelope the retainer structure between the capture
structure and an internal surface defining a cavity of the head. The head
has a U-shaped cradle defining a channel for receiving a spinal fixation
or stabilization longitudinal connecting member. The head channel
communicates with the cavity and further with a restrictive opening that
receives retainer pieces and the capture structure into the head but
prevents passage of frictionally engaged retainer and capture structures
out of the head. The retainer structure includes a substantially
spherical surface that mates with the internal surface of the head,
providing a ball joint, enabling the head to be disposed at an angle
relative to the shank body. Methods of installation are also provided.