Interspinous process implant

1. A spinal implant comprising:

a main body having an outer surface, a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end, said main body including a central bore therein;

a proximal anchor comprising: a nut having a proximal side, a distal side, and an internal bore;

a distal anchor comprising: a plurality of rotatable wings having a first closed configuration and a second open configuration, wherein the plurality of wings comprises a first wing having an inner end and an outer end, and a second wing having an inner end and an outer end, wherein said inner end of the first wing is connected to said inner end of the second wing,

wherein in the first closed configuration the first wing and the second wing both fold proximally, and in the second open configuration the outer end of the first wing and the outer end of the second wing both rotate distally; and

an internal plunger having a proximal end and a distal end, said internal plunger housed within the central bore of the main body, said distal end of the internal plunger operatively connected to the first wing and the second wing by a mechanical linkage to selectively rotate the plurality of wings between the first closed configuration and the second open configuration,

said mechanical linkage comprising:

a first linkage having a distal end connected near the inner end of the first wing; and

a second linkage having a distal end connected near the inner end of the second wing,

wherein the first linkage is substantially identical to the second linkage.

2. The spinal implant of claim 1 , wherein the distal end of the internal plunger comprises:

a first arm, a second arm, and a space between the first arm and the second arm,

wherein a proximal end of the first linkage and a proximal end of the second linkage are mounted in the space between the first arm and the second arm of the internal plunger.

3. The spinal implant of claim 2 , wherein the first linkage and the second linkage are rotatably attached to the internal plunger by a mounting pin.

4. The spinal implant of claim 1 , wherein the first wing includes a first slot for receiving the first linkage therein, and the second wing includes a second slot for receiving the second linkage therein.

5. The spinal implant of claim 1 , wherein the outer end of the first wing includes at least one pointed protrusion adapted to engage tissue or bone or the outer end of the second wing includes at least one pointed protrusion adapted to engage tissue or bone.

6. The spinal implant of claim 1 , further comprising:

external threads on at a least a portion of the outer surface of the main body; and

internal threads within said internal bore of said nut,

wherein the internal threads of the nut are configured to cooperate with the external threads of the main body.

7. The spinal implant of claim 1 , wherein the distal side of the nut includes at least one flex arm adapted to engage tissue or bone, said at least one flex arm defines a space proximal thereto.

8. The spinal implant of claim 7 , wherein the at least one flex arm includes a roughened surface or teeth adapted to engage tissue or bone.

9. The spinal implant of claim 1 , wherein the first wing and the second wing are received within a side window of the main body in the first closed configuration.

10. A spinal implant comprising:

a main body having an outer surface, a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end, said main body including a central bore therein and external threads on at a least a portion of the outer surface;

a proximal anchor comprising: a nut having a proximal side, a distal side, and an internal bore having internal threads;

a distal anchor comprising: a first wing and a second wing configured to be selectively opened and closed, a proximal end of the first wing and a proximal end of the second wing connected to the main body via a first pin; and

a linkage assembly connecting the first wing and the second wing to an internal plunger mounted within the central bore of the main body, said linkage assembly comprising a first linkage and a second linkage,

said first linkage having a distal end connected to the first wing via a second pin; and

said second linkage having a distal end connected to the second wing via a third pin,

wherein the first pin is located between the second pin and the third pin.

11. The spinal implant of claim 10 , wherein a distal end of the internal plunger comprises a first arm, a second arm, and a space between the first arm and the second arm,

wherein a proximal end of the first linkage and a proximal end of the second linkage are mounted in the space between the first arm and the second arm of the internal plunger.

12. The spinal implant of claim 10 , wherein the first linkage is substantially identical to the second linkage.

13. The spinal implant of claim 10 , wherein the first and second wings fold proximally such that the first wing and the second wing are received within a window of the main body in a closed configuration.

14. The spinal implant of claim 10 , wherein said linkage assembly is configured to selectively rotate the first and second wings between a first closed configuration and a second open configuration.

15. The spinal implant of claim 14 , wherein the first linkage and the second linkage form a first acute angle in the first closed configuration and a second greater angle in the second open configuration.

16. The spinal implant of claim 15 , wherein the second angle is an acute angle.

17. A method of placing a spinal implant at a treatment site comprising:

providing a spinal implant in a first closed configuration, said spinal implant comprising:

a main body having an outer surface, a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end, said main body including a central bore therein;

a proximal anchor comprising: a nut having a proximal side, a distal side, and an internal bore;

a distal anchor comprising: a plurality of wings having the first closed configuration and a second open configuration, wherein the plurality of wings comprises a first wing and a second wing, said first wing having an inner end and an outer end, and said second wing having an inner end and an outer end, wherein said inner end of the first wing is connected to said inner end of the second wing; and

an internal plunger having a proximal end and a distal end, said internal plunger housed within the central bore of the main body, said distal end of the internal plunger operatively connected to the first wing and the second wing by a mechanical linkage to selectively rotate the plurality of wings between the first closed configuration and the second open configuration,

said mechanical linkage comprising:

a first linkage having a distal end connected near an inner end of the first wing; and

a second linkage having a distal end connected near an inner end of the second wing,

wherein the first linkage is substantially identical to the second linkage;

placing the spinal implant in a patient at a desired treatment site; and

sliding the internal plunger distally along the longitudinal axis to rotate the plurality of wings to the second open configuration by moving the outer end of the first wing and the outer end of the second wing distally.

18. The method of claim 17 , further comprising:

sliding the internal plunger proximally along the longitudinal axis to move the plurality of wings towards the first closed configuration to engage the plurality of wings with bone or tissue at the treatment site.

19. The method of claim 17 , further comprising:

moving the nut distally along the main body to engage the distal side of the nut with tissue or bone.

20. The method of claim 17 , further comprising:

sliding the internal plunger proximally along the longitudinal axis to move the plurality of wings to the first closed configuration to withdraw the spinal implant from the patient.