Fixation assembly

1. A fixation assembly comprising:

a driver having a driver body, a first protrusion that extends radially outward from the driver body distal to a proximal end of the driver body, a second protrusion having external threads and that extends radially outward from the driver body at a location distal to the first protrusion, and a coupling supported by the driver body, the coupling configured to engage a fixation element coupling defined by a fixation element such that rotation of the driver drives the fixation element into an underlying implant;

a holding sleeve having a proximal portion, a distal portion, a holding sleeve body and a channel that extends through the holding sleeve body, the channel being configured to receive the driver, the proximal portion of the holding sleeve having internal threads, the holding sleeve further including a distal thread that is configured to temporarily mate with a thread of the fixation element such that as the driver rotates the fixation element, the fixation element is driven into the underlying implant and disengages from the holding sleeve; and

an alignment mechanism extending from the holding sleeve, the alignment mechanism including a mating member configured to engage a blocking plate so as to maintain alignment of the blocking plate relative to the underlying implant as the fixation element is driven into the underlying implant to thereby affix the blocking plate to the underlying implant;

wherein the first and second protrusions are separated by a distance that limits the translation of the driver within the holding sleeve, and the external threads of the second protrusion are configured to engage the internal threads of the holding sleeve to thereby couple the driver to the holding sleeve.

2. The fixation assembly of claim 1 , wherein the alignment mechanism has at least one alignment member configured to engage the underlying implant to which the fixation element is to be affixed so as to align the fixation element, the driver, and the holding sleeve with respect to the underlying implant.

3. The fixation assembly of claim 1 , wherein the distal thread of the holding sleeve is an internal thread that is defined within a distal end of the channel of the holding sleeve.

4. The fixation assembly of claim 2 , wherein the alignment mechanism is integral with the holding sleeve.

5. The fixation assembly of claim 2 , wherein the alignment mechanism includes an alignment body, and a channel that extends through the alignment body, the channel of the alignment mechanism configured to receive the holding sleeve.

6. The fixation assembly of claim 2 , wherein the alignment mechanism further includes a pair of struts, each strut having a strut body that extends laterally out from the holding sleeve, the struts are separated such that a gap is defined between the struts adjacent a distal opening of the channel of the holding sleeve.

7. The fixation assembly of claim 6 , wherein an alignment member extends distally from each strut body.

8. The fixation assembly of claim 6 , wherein the mating member includes a rail that extends out from at least one of the strut bodies and into the gap.

9. The fixation assembly of claim 6 , wherein the alignment mechanism includes a pair of mating members, each mating member including a rail that extends from a respective strut body and into the gap.

10. The fixation assembly of claim 2 , further comprising the fixation element, wherein the fixation element includes a shaft and a head that extends from a proximal end of the shaft, the shaft defining external threads between the distal end and the proximal end, the head defining external threads that are configured to be engaged by the distal thread of the holding sleeve.

11. The fixation assembly of claim 10 , wherein the threads of the head and the threads of the shaft have substantially similar pitches.

12. The fixation assembly of claim 10 , wherein the threads of the head and the threads of the shaft are both right handed threads.

13. The fixation assembly of claim 10 , further comprising a blocking plate, the blocking plate having a body, and an aperture that extends through the body, the aperture configured to receive the shaft of the fixation element.

14. The fixation assembly of claim 13 , wherein the blocking plate has a groove that extends through the body, the groove is configured to engage the alignment mechanism so as to prevent the blocking plate from rotating, and to maintain alignment of the blocking plate with the underlying implant.

15. The fixation assembly of claim 1 , wherein the underlying implant is a fixation plate of an intervertebral implant.

16. A fixation assembly comprising:

a driver and a fixation element, the driver configured to drive the fixation element into a bore defined by an underlying implant, the fixation element comprising a head with an external first thread and a shaft with a second thread, the first thread and second thread having the same pitch;

a holding sleeve comprising an internal channel configured to receive the driver, the holding sleeve further comprising a fixation element coupler configured to temporarily hold the fixation element where the fixation element coupler comprises an internal thread located at a distal end of the holding sleeve that mates with the first thread of the head of the fixation element, at least one of the driver and the fixation element coupler being translatable relative to the other; and

an alignment mechanism having at least one alignment member configured to be received by an aperture defined by the underlying implant to thereby align the fixation element with the bore defined by the underlying implant.

17. The fixation assembly of claim 16 , further comprising a holding rod having a holding rod body, wherein the fixation element coupler extends distally from the holding rod body, and the driver includes a channel that extends through the driver body, the holding rod configured to translate through the channel of the driver.

18. The fixation assembly of claim 16 , wherein the alignment mechanism extends distally from the holding sleeve.

19. The fixation assembly of claim 18 , wherein the alignment mechanism is integral with the holding sleeve.

20. The fixation assembly of claim 18 , wherein the alignment mechanism includes an alignment body, and a channel that extends through the alignment body, the channel of the alignment mechanism configured to receive the holding sleeve.

21. The fixation assembly of claim 16 , wherein the alignment mechanism includes a two part tube, and an alignment attachment, the two part tube including a first part that defines tabs configured to align a blocking plate.