The FS³ Facet Screw Spinal System is a cannulated screw system that accommodates a range of patient pathologies through a percutaneous or open approach. The intuitive design allows for fast, reliable, and reproducible access and implantation over a guide wire, with minimal exposure and dissection. The partially threaded screw design maximizes compression of the facet articular processes while the washer applies forces to the bone to enhance stability. The double helical screw thread design allows for faster screw insertion without compromising bone purchase. Multiple screw lengths are available to accommodate various patient anatomies and pathologies.