| CPC A61B 17/7053 (2013.01) [A61B 17/0642 (2013.01); A61B 17/1671 (2013.01); A61B 17/70 (2013.01); A61B 17/701 (2013.01); A61B 17/7022 (2013.01); A61B 17/704 (2013.01); A61B 17/8695 (2013.01); A61B 17/8877 (2013.01); A61B 17/8894 (2013.01); A61B 17/92 (2013.01); A61B 2017/0648 (2013.01); A61B 17/1604 (2013.01); A61B 17/1655 (2013.01); A61B 2017/564 (2013.01); A61B 2017/567 (2013.01); A61B 2017/681 (2013.01); A61B 2017/867 (2013.01)] | 24 Claims | 

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               1. A spinal anchoring system, comprising: 
            a substantially flat elongate tether that extends between a first end and a second end; and 
                an anchoring device that is adapted to mate to bone, the anchoring device including: 
                a staple having opposed arms extending proximally therefrom that define a channel therebetween for seating the substantially flat elongate tether, 
                  a bone screw extending distally through the staple and configured to mate the staple to bone, 
                  a washer configured to be positioned such that the tether is disposed between the washer and the staple, and 
                  a locking screw configured to be received between the opposed arms of the staple to mate to an inner surface of the opposed arms and urge the washer into engagement with the tether, 
                wherein the tether has a bent configuration within the channel when the tether is engaged between the washer and the staple to maintain the tether in a substantially fixed position. 
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