Disclosed are apparatus and methods for performing cerclage. In some aspects of the present invention, the apparatus is designed to both compress a fracture and aid the operator in applying cerclage thereto. Cerclage is facilitated by providing a passageway internal to the apparatus that encircles the fracture during compression of the fracture with the apparatus. The internal passageway allows a cerclage material to be threaded therethrough without disruption or damage to surrounding tissue, skin, or the like. Upon removal of the apparatus, cerclage may be performed by tightening or otherwise tying off the cerclage material. In some embodiments of the present invention, the apparatus portions comprising the internal passageway are removable to allow such passageways to be discarded after each use, thereby simplifying sterilization and the like thereof. In other aspects of the present invention, interlocking components are provided to facilitate threading of the cerclage material through the apparatus.

 
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> Instruments and methods for manipulating a spinal fixation element

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