Systems and method in accordance with an embodiment of the present invention can includes an implant comprising a first wing, a spacer extending from the first wing, and a distraction guide. The distraction guide is arranged in a first configuration to pierce and/or distract tissue associated with adjacent...http://www.google.ca/patents/US20080033553?utm_source=gb-gplus-sharePatent US20080033553 - INTERSPINOUS PROCESS IMPLANTS AND METHODS OF USE