A percutaneous tower for the orthopedic procedures. The tower can include an outer elongated member, an inner elongated member received within the outer elongated member, a release actuator operable to move the inner elongated member relative to the outer elongated member between first and second positions, and a fastener engagement member coupled to a distal portion of the tower and operable to engage a bone fastener when the inner elongated member is in the first position, and to disengage the bone fastener when the inner elongated member is in the second position.