Abstract: A spinal alignment system is disclosed and includes vertebral connectors, elongated elements that link the vertebral connectors, and fasteners that lock the elongated elements in position. An elongated element has at least one shaped end that is received by a coupling member of the connector. The shaped end permits the elongated element to be angularly moveable with respect to the coupling member until locked in place with a fastener received in the coupling member. The elongated element also preferably includes a length adjustment mechanism, such as a telescoping or threaded section to provide a desired length in conjunction with a desired degree of alignment. Various coupling mechanisms are disclosed to provide multiple degrees of freedom prior to fixation.