Interspinous process implant and fusion cage spacer

A method of percutaneously performing interspinous process decompression, comprising the steps of:

• a) providing a spinal implant having an elongated body dimensioned and configured to function as a spacer, for placement in a target interspinous process space, between two adjacent spinous processes, wherein an outer surface of the body is threaded, a distal anchor associated with a distal end of the body, and a proximal anchor mounted for longitudinal movement along the body between a first position spaced apart from the head and a second position approximated with the distal end, the proximal anchor being adapted to engage the two adjacent spinous processes, in conjunction with the distal anchor, wherein the proximal anchor includes an axially slideable plate and a nut threaded to the threaded outer surface of the body for axial movement of the proximal anchor by rotational movement of the nut;
• b) forming an incision in a patient's skin, lateral from a target interspinous process space, in which the implant is to be placed;
• c) inserting a stylet through the incision, laterally to the target interspinous process space, using an internal imaging technique, to form an entry path;
• d) inserting one or more dilators, sequentially, along the entry path to dilate soft tissues between the incision and the target interspinous process space;
• e) inserting a sleeve through the entry path;
• f) selecting an implant having a size appropriate for a desired amount of interspinous distraction;
• g) inserting the implant, held by an insertion device, through the sleeve, up to the target interspinous process space;
• and
• h) advancing the implant into the interspinous process space,
• wherein the inserting step includes inserting a tapered end of the distal anchor between two adjacent spinous processes such that a trailing skirt section of the tapered end transitions between a radially expanded condition to a radially compressed condition.