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 unitary integral nut having a proximal side, a distal side, and an internal bore, wherein the distal side of the nut includes a grip plate having at least one flex arm adapted to engage tissue or bone, said at least one flex arm having a fixed portion and a movable portion with a space proximal thereto;

a distal anchor comprising: a plurality of wings having a first closed configuration and a second open configuration, wherein the plurality of wings comprises a first wing and a 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 to selectively move the plurality of wings between the first closed configuration and the second open configuration.

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

a first linkage connecting the first wing to the internal plunger, wherein the first linkage has a proximal end and a distal end; and

a second linkage connecting the second wing to the internal plunger, wherein the second linkage has a proximal end and a distal end.

3. The spinal implant of claim 2 , 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 the proximal end of the first linkage and the proximal end of the second linkage are mounted in the space between the first arm and the second arm of the internal plunger.

4. The spinal implant of claim 3 , wherein the distal end of the first linkage is connected to the first wing, and the distal end of the second linkage is connected to the second wing.

5. The spinal implant of claim 4 , 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.

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

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

8. 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.

9. The spinal implant of claim 1 , wherein the at least one flex arm includes a roughened surface or teeth adapted to engage tissue or bone.

10. The spinal implant of claim 1 , wherein said at least one flex arm comprises four flex arms.

11. 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, wherein the nut is a single piece, and wherein the distal side of the nut includes a grip plate having at least one flex arm adapted to engage tissue or bone, said flex arm having a fixed portion and a movable portion with a space proximal thereto;

a distal anchor comprising: a first wing and a second wing configured to be selectively opened and closed; and

a linkage assembly connecting the first wing and the second wing to the main body.

12. The spinal implant of claim 11 , wherein the linkage assembly comprises:

an internal plunger mounted within the central bore of the main body; a first linkage; and a second linkage.

13. The spinal implant of claim 12 , wherein the first linkage has a proximal end and a distal end, and the second linkage has a proximal end and a distal end, and

wherein the first linkage connects the first wing to the internal plunger and the second linkage connects the second wing to the internal plunger.

14. The spinal implant of claim 13 , 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 the proximal end of the first linkage and the proximal end of the second linkage are mounted in the space between the first arm and the second arm of the internal plunger.

15. The spinal implant of claim 11 , wherein the at least one flex arm includes a roughened surface or teeth adapted to engage tissue or bone.

16. The spinal implant of claim 11 , wherein said at least one flex arm comprises four flex arms.

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 monolithic nut having a proximal side, a distal side, and an internal bore, wherein the distal side of the nut includes a grip plate having at least one flex arm adapted to engage tissue or bone, said flex arm having a fixed portion and a movable portion with a space proximal thereto;

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; 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 to selectively move the plurality of wings between the first closed configuration and the second open configuration;

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

sliding the internal plunger distally along the longitudinal axis to move the plurality of wings to the second open configuration.

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.