Systems and methods for injecting bone filler into a vertebra, wherein a spinous process and/or lamina can be strengthened by injecting the bone filler into the spinous process and/or lamina. An insertion device including a needle can be positioned proximal to the junction between the spinous process and the lamina of the vertebra when inserting the bone filler. Various embodiments of the needle and needle guide devices can be used to facilitate the process.