A side-loading bone anchor is provided, which may be used in cervical, thoracic, lumbar or sacral areas of the spine or other orthopedic locations. In one embodiment, the anchor includes an anchoring portion and a receiving portion. The anchoring portion is attached to a bone, and is connected to the receiving portion. A rod or other elongated support member is received in the receiving portion in contact with a crown member in the receiving portion and above the anchoring portion. The receiving portion, with or without the rod, may be rotated or pivoted with respect to the anchoring portion, and a set screw is threaded into the receiving portion to lock the rod within the receiving portion.