Patent ID: 8323318

Claim:
A fastening system, comprising: a connection piece including a passage for receiving an elongate rod therethrough, and first and second openings on opposite sides of the connection piece; a tie comprising: two ends and an intermediate portion between the two ends, wherein the two ends of the tie are sized to pass through the first and second openings in the connection piece to form two loops: a first loop for engaging a bone on a first side of the connection piece, the first loop formed from the intermediate portion of the tie extending from the first opening on the first side of the connection piece; and a second loop for engaging an instrument on a second side of the connection piece, the second loop formed from joining the two ends of the tie extending from the second opening on the second side of the connection piece; and a contact portion configured to engage a surface of the connection piece; and an adjustable locking member configured for at least one of: holding the connection piece in a fixed position relative to a rod positioned within the passage or urging the contact portion of the tie against the connection piece to lock the tie in position, wherein the connection piece further comprises two jaws and a hinge joining the two jaws at an axis at a first end of the two jaws and wherein the locking member is located distal the hinge.