# US 11,304,733 B2 · Bone tie methods > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,304,733 B2 - Document ID: US11304733B2 - Status: Granted - Kind: B2 - Application number: 17/174,032 - Filed: 2021-02-11 - Published: 2021-08-19 - Granted: 2022-04-19 - Earliest claimed: 2020-02-14 - Assignees: Spinal Elements, Inc. - Applicants: Spinal Elements, Inc. - Inventors: Jason Blain; Taylor Semingson; Gregory Thomas Bradford - Web page: https://patentgrep.com/patent/US11304733B2 ## CPC - A61B 17/7053: {with parts attached to bones or to each other by flexible wires, straps, sutures or cables} - A61B 17/7064: {Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor} - A61B 17/82: for bone cerclage {(apparatus for manipulating wires or straps A61B17/8861; wires, bands or straps other than cerclage A61B17/842)} - A61B 17/842: {Flexible wires, bands or straps (A61B17/72, A61B17/82, A61B17/86 take precedence)} - A61B 17/8861: {Apparatus for manipulating flexible wires or straps (devices for inserting Kirschner wires A61B17/1697)} - A61B 17/7083: {Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements} - A61B 2017/00407: {Ratchet means} - A61B 2017/564: {Methods for bone or joint treatment} - A61F 2/4455: {for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages (intervertebral discs A61F2/442)} - A61F 2/4611: {of spinal prostheses} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract Various embodiments of bone ties, bone tie inserters, and methods for treating the spine are provided. The methods can include wrapping the bone tie around transverse processes of adjacent vertebrae to correct coronal plane deformity. The methods can include wrapping the bone tie around the spinous process of one vertebra and around the transverse process of a second adjacent vertebra to achieve rotational correction. The methods can include wrapping the bone tie around the lamina of adjacent vertebrae to achieve sagittal correction. The methods can include applying tension to the bone tie to set the sagittal correction. The methods can include passing the bone tie through a lumen in a vertebral body or a pedicle of the inferior vertebra and the lamina or articular process of the superior vertebra. ## Claims ### Claim 1 A method of treating vertebrae, the method comprising: positioning a bone tie around a spinous process of a first vertebra, positioning the bone tie around a transverse process of a second vertebra, and tightening the bone tie, wherein the bone tie is configured to achieve rotational correction or rotational improvement. ### Claim 2 (depends on 1) The method of claim 1, wherein the transverse process is to the right of the spinous process. ### Claim 3 (depends on 1) The method of claim 1, wherein the transverse process is to the left of the spinous process. ### Claim 4 (depends on 1) The method of claim 1, wherein the first vertebra is a superior vertebra and the second vertebra is an inferior vertebra. ### Claim 5 (depends on 1) The method of claim 1, wherein the first vertebra is an inferior vertebra and the second vertebra is a superior vertebra. ### Claim 6 (depends on 1) The method of claim 1, wherein the bone tie comprises a fastener section comprising a ratchet, wherein the bone tie comprises one or more gears configured to engage the ratchet. ### Claim 7 (depends on 1) The method of claim 1, wherein tightening the bone tie comprises applying a torque on adjacent vertebrae. ### Claim 8 A method of treating vertebrae, the method comprising: forming a straight or linear lumen through a first vertebra and a second vertebra, wherein the lumen is through the vertebral body of the first vertebra, wherein the lumen is through the lamina or articular process of the second vertebra, advancing a bone tie into the lumen, and tightening the bone tie. ### Claim 9 (depends on 8) The method of claim 8, wherein the bone tie is configured to stabilize or fuse adjacent vertebrae. ### Claim 10 (depends on 8) The method of claim 8, further comprising inserting an intervertebral implant between the first vertebra and the second vertebra. ### Claim 11 (depends on 8) The method of claim 8, wherein the bone tie comprises a fastener section comprising a ratchet. ### Claim 12 (depends on 8) The method of claim 8, wherein the first vertebra is an inferior vertebra and the second vertebra is a superior vertebra. ### Claim 13 (depends on 8) The method of claim 8, further comprising: forming a straight or linear second lumen through the first vertebra and the second vertebra, wherein the second lumen is through the vertebral body of the first vertebra, wherein the second lumen is through the lamina or articular process of the second vertebra, advancing a second bone tie into the second lumen, and tightening the second bone tie. ### Claim 14 (depends on 13) The method of claim 13, wherein the first bone tie and the second bone tie are configured to stabilize the first vertebra and the second vertebra on both the right side and left side of the spinous processes. ### Claim 15 A method of treating vertebrae, the method comprising: forming a straight or linear lumen through a first vertebra and a second vertebra, wherein the lumen is through the pedicle of the first vertebra, wherein the lumen is through the lamina or articular process of the second vertebra, advancing a bone tie into the lumen, and tightening the bone tie. ### Claim 16 (depends on 15) The method of claim 15, further comprising inserting an intervertebral implant between the first vertebra and the second vertebra. ### Claim 17 (depends on 15) The method of claim 15, wherein the first vertebra is an inferior vertebra and the second vertebra is a superior vertebra. ### Claim 18 (depends on 15) The method of claim 15, further comprising: forming a straight or linear second lumen through the first vertebra and the second vertebra, wherein the second lumen is through the pedicle of the first vertebra, wherein the second lumen is through the lamina or articular process of the second vertebra, advancing a second bone tie into the second lumen, and tightening the second bone tie. ### Claim 19 (depends on 18) The method of claim 18, wherein the first bone tie and the second bone tie are configured to stabilize the first vertebra and the second vertebra on both the right side and left side of the spinous processes. ### Claim 20 (depends on 15) The method of claim 15, wherein the bone tie comprises a fastener section comprising a ratchet.