Off-axis anchor guidance system

1. A system for guiding bone anchors, the system comprising:

a guide wire

an anchor comprising:

a shank having a proximal end and a distal tip, wherein the shank has an offset bore which is adapted to allow the guide wire to slide through the bore, wherein the bore extends from the distal tip of the shank to a side surface of the shank, and wherein the shank does not have a bore which causes a cannulation through the entire length of the anchor; and

a head coupled to a proximal end of the shank;

a dilator having a longitudinal slot where the longitudinal slot allows the guide wire to extend through the longitudinal slot when the anchor is positioned within the dilator; and

a driving device which is adapted to engage the head of the anchor.

2. The system of claim 1 wherein the bore is not concentric to a longitudinal center axis of the shank.

3. The system of claim 1 wherein the driving device further comprises:

an outer shaft,

an inner shaft rotatably disposed within the outer shaft having a distal end and a proximal end, and

a removable handle coupled to the proximal end.

4. The system of claim 3 wherein the outer shaft is adapted to couple with a rod receiving portion of a medical implant device and the distal end of the inner shaft is adapted to engage the anchor.