Bone tie and portal
Various systems and methods for treating the spine are provided. A portal system can be provided for treating the spine. The portal system can include a portal comprising a proximal end and a distal end, a first passageway extending between the proximal end and the distal end, a second passageway extending between the proximal end and the distal end, and a latch. The bone tie can include a head, a body section comprising one or more gears, and a fastener section comprising a ratchet.
1. A method for treating the spine comprising:
positioning a k-wire into cannulation of a cannulated needle;
positioning a portal, wherein the portal comprises a portal body comprising a lumen extending through the portal body from a proximal end of the portal body to a distal end of the portal body, wherein the distal end of the portal body engages the anatomy of a patient;
inserting a drill into the lumen of the portal body from the proximal end of the portal body toward the distal end of the portal body;
forming a curved lumen with the drill inserted into the lumen of the portal body, wherein the drill comprises a drill body and a swing arm, wherein the swing arm advances in an arc relative to the drill body;
removing the drill from the portal while the portal remains engaged with the anatomy of the patient; and
passing a bone tie through the curved lumen.
2. The method of claim 1 , further comprising positioning the cannulated needle into a pedicle.
3. The method of claim 1 , further comprising preparing hypertrophic facets.
4. The method of claim 1 , further comprising positioning a trephine relative to a k-wire.
5. The method of claim 1 , further comprising rotating a trephine to seat a trephine blade on a facet joint.
6. The method of claim 1 , further comprising coupling the portal and a tissue splitter.
7. The method of claim 1 , further comprising inserting a tissue splitter and the portal until the tissue splitter and the portal bottom out on a pedicle.
8. The method of claim 1 , further comprising confirming the position of the portal.
9. A method for treating the spine comprising:
positioning a portal, wherein the portal comprises a portal body comprising a lumen extending through the portal body from a proximal end of the portal body to a distal end of the portal body, wherein the distal end of the portal body engages the anatomy of a patient;
sliding an awl through the portal;
inserting a drill into the lumen of the portal while the awl remains through the portal;
forming a curved lumen with the drill inserted into the lumen of the portal body, wherein the drill comprises a drill body and a swing arm, wherein the swing arm advances in an arc relative to the drill body; and
passing a bone tie through the curved lumen while the awl remains through the portal.
10. The method of claim 9 , further comprising advancing the awl into a pedicle.
11. The method of claim 9 , wherein inserting the drill into the lumen of the portal body further comprises locking the drill relative to the portal.
12. The method of claim 9 , wherein forming the curved lumen further comprises forming the curved lumen from a lamina to a pedicle.
13. A method for treating the spine comprising:
positioning a portal, wherein the portal comprises a portal body comprising a lumen extending through the portal body from a proximal end of the portal body to a distal end of the portal body, wherein the distal end of the portal body engages the anatomy of a patient;
inserting a drill into the lumen of the portal body;
forming a curved lumen with the drill inserted into the lumen of the portal body, wherein the drill comprises a drill body and a swing arm, wherein the swing arm advances in an arc relative to the drill body;
removing the drill from the portal and inserting an implant shuttle into the lumen of the portal; and
passing a bone tie through the implant shuttle.
14. The method of claim 13 , further comprising feeding the bone tie through the curved lumen.
15. The method of claim 13 , further comprising sliding an implant catcher relative to an awl.
16. The method of claim 13 , further comprising advancing the bone tie until a head of the bone tie is positioned within an awl.
17. The method of claim 13 , further comprising tensioning the bone tie.
18. The method of claim 13 , further comprising engaging one or more gears of the bone tie with a ratchet of the bone tie to form a loop.
19. The method of claim 13 , further comprising applying tension to a free end of the bone tie after the bone tie forms a loop.