A double-headed pedicle screw is provided. The double-headed pedicle screw includes a threaded shaft portion and a plurality of yoke assemblies supported by the threaded shaft portion. Each of the yoke assemblies includes a recess configured to receive a portion of a rod, alignment structure, or immobilization structure therein. Each of the yoke assemblies is configured for pivoting movement relative to the threaded shaft portion independent of the pivoting movement of the other yoke assemblies.