before the present subject matter is further described , it is to be understood that this subject matter described herein is not limited to particular embodiments described , as such may of course vary . it is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only , and is not intended to be limiting . unless defined otherwise , all technical terms used herein have the same meaning as commonly understood by one skilled in the art to which this subject matter belongs . as will be apparent to those of skill in the art upon reading this disclosure , each of the individual embodiments described and illustrated herein has discrete components and features which may be readily separated from or combined with the features of any of the other several embodiments without departing from the scope of the subject matter described herein . any recited method can be carried out in the order of events recited or in any other order which is logically possible . fig1 shows a perspective view of a device 105 that is configured for placement between the spinous processes sp 1 and sp 2 of two adjacent vertebral bodies . fig2 shows an enlarged , perspective view of the device 105 and fig3 shows a side view of the device 105 . the device 105 includes a spacer or central region 205 that is sized and shaped to fit between the spinous processes of the two adjacent vertebral bodies . the device 105 further includes a pair of protrusions 210 that extend outward from the central region . the protrusions are size and shaped to couple to the spinous processes , as described more fully below . with reference to fig2 and 3 , the central region 205 comprises a cylindrical body having one or more openings that extend through the walls of the body . in the illustrated embodiment , the central region 205 is cylindrical and substantially circular when viewed from the side ( as shown in fig3 ). a central shaft 305 extends through the central region 205 . along an upper portion of the central region 205 , an elongated gap 208 is formed , which is sized and shaped to receive a locking member 215 , as described below . it should be appreciated that the central region 205 can have other shapes . with reference still to fig2 and 3 , the protrusions 210 comprise outwardly extending bodies or tabs . a pair of such protrusions extends outwardly from the central region 205 on each side of the gap 208 . a space between each of the protrusions is sized and shaped to receive at least a portion of a spinous process . for example , as shown in fig1 , the protrusions 210 a and 210 b define a space therebetween that is sized and shaped to receive the spinous process sp 1 . in this manner , the device 105 can be positioned between the spinous processes sp 1 and sp 2 with the protrusions 210 coupling to respective spinous processes to thereby serve anchoring or stabilizing functions . as shown in fig2 and 3 , the locking member 215 is sized and shaped to fit within the elongated gap 215 . in this regard , as shown in fig3 , the elongated gap 215 forms a pair of slots that are sized and shaped to receive complementary - shaped tabs on the locking member 215 . this permits the locking member 215 to be slidably positioned into the gap 215 by properly aligning the locking member adjacent the gap 215 and then sliding the locking member into the gap along a vector that would be normal to the plane of fig3 . after the locking member is positioned in the gap 215 , locking member may be rotated to cause a cam portion of the locking member to outwardly separate the central region along opposite sides of the gap 215 and thereby lock the central region onto the spinous processes . this is described in more detail with reference to fig4 , which shows the central region 205 of the device 105 positioned between a pair of spinous processes sp 1 and sp 2 . at this stage , the locking member 215 is not coupled to the central region 205 . the locking member 215 can now be slid into the central region and rotated to cause the cam to expand the central region such that it exerts a force onto the spinous processes and fixes thereto . note that a series of slots 220 ( fig2 ) are located along the wall of the central region 205 . the slots are sized and shaped to receive at least a portion of a spinous process when the device 105 is implanted . fig5 shows another embodiment of the isp device , referred to as device 505 . the device 505 includes four members including a first member 510 , second member 515 , third member 520 , and fourth member 525 . each of the second , third , and fourth member has a central shaft or opening that is sized and shaped to receive an elongated shank 530 such that the members may be coupled to one another by inserting the shank 530 through the central openings of the other members . the fourth member 525 serves as a cap with internal threads that couple to external threads on the shank 530 . in this manner , the fourth member 525 can be secured to the shank 530 with the second and third members 515 and 520 secured along the shank 530 between the fourth member 525 and an enlarged head 535 of the first member 510 . with reference still to fig5 , the second member 515 and third member 520 may be positioned with a space s therebetween . each of the second member and third member are sized and shaped to be positioned adjacent or juxtaposed with a spinous process of a respective vertebra . the spinous process can be positioned within the space s and the second and third members tightened about the spinous process . the cap of the fourth member can then be tightened to secure the spinous process within the space s . fig6 shows another embodiment of the isp device , referred to as device 605 . the device 605 includes a main body 610 that is sized and shaped to be positioned within the space between a pair of spinous processes . the main body may be coupled to an expander member 615 that threadably inserts into an opening 625 in the main body 610 . the main body 610 has a substantially tubular configuration with an internal shaft and an out wall that forms a substantially cylindrical shape . a plurality of openings extend through the outer wall and communicate with the internal shaft . the expander member 615 is elongated in shape and has a threaded shank that fits into the opening 625 of the main body . the expander member 615 can be rotated to engage with threads inside the opening 625 to engage the expander member 615 with the main body 610 . any of the device embodiments can be made of any biologically adaptable or compatible materials such as polyether ether ketone ( peek ). additional materials considered acceptable for biological implantation are well known and include , but are not limited to , stainless steel , titanium , tantalum , combination metallic alloys , various plastics , resins , ceramics , biologically absorbable materials and the like . in addition , any of the devices may be packed with a bone graft or other suitable material for fusing to adjacent bone . fig7 and 8 show another embodiment of a device 705 that is configured for placement between the spinous processes sp 1 and sp 2 of two adjacent vertebral bodies . the device 705 includes two pairs of arms including a first pair with first and second arms 710 a and 710 b , as well as a second pair with third and fourth arms 710 c and 710 d . the arms 710 a and 710 b in the first pair of arms are sized and shaped to grasp or otherwise couple to the spinous process sp 1 . likewise , the arms 710 c and 710 d in the second pair of arms are sized and shaped to grasp or otherwise couple to the spinous process sp 2 . as described in detail below , the relative positions of the arms can be adjusted by rotating actuator 715 . rotation of the actuator 715 causes the arms in a respective pair to rotate about an axis of rotation of the actuator 715 . that is , the arms rotate about the axis in a scissor - like manner . this permits the arms to be opened up to a size that would accept a respective spinous process and then closed to a size that grasps the respective spinous process . in an embodiment , each arm has a flat inner surface with projections that are configured to increase a frictional hold with the spinous process to which the arm is coupled , as shown in fig9 and 10 . fig9 shows a perspective view of the device 705 in an assembled state and fig1 a shows the device 705 in an exploded state . the device 705 includes a first arm member 905 that includes a pair of arms . a second arm member 910 includes another pair of arms . each arm member includes a central shaft in which a coupler member 915 and a screw member 920 may be co - axially positioned . the screw member 920 couples to a cap 925 that is positioned on an opposite end of the screw member 920 to secure the device 705 in an assembled state . the coupler member 915 and screw member rotatably attach to the arm members 905 and 910 . when the screw member is rotated , it causes the arm members 905 and 910 to also rotate such that the arms may be rotated toward and away from another . fig1 b and 11 show another embodiment of the isp device , referred to as device 1005 . the device 505 includes a pair of opposed members 1010 that define a space s therebetween . each of the members 1005 is sized and shaped to be positioned adjacent or juxtaposed with a spinous process of a respective vertebra . the spinous process can be positioned within the space s . in this regard , each of the members 1010 includes one or more pads 1017 having attachment elements , such as spikes , that are configured to attach onto the spinous process . the pads are attached to the members in a ball and socket manner such that the pads are configured to rotate and pivot about the ball and socket attachment . with reference still to fig1 b and 11 , a connector 1020 connects the two members 1010 to one another . the connector 1010 is an elongated shaft having a first end with a head 1025 that sits in a seat in one of the members 1010 . a second end region of the connector 1010 extends through a hole in the second member 1010 . the connector 1020 and hole may be threaded such that rotation of the connector 1010 causes the two members 1010 to move toward or away from one another depending on the direction of rotation . in this manner , the spinous process may be secured between the two members 1010 . an outer housing 1030 is positioned around the connector 1020 . the outer housing is sized and shaped to receive bone material for fusing with the spine . in another embodiment , shown in fig1 , the device includes a pair of members 1005 and a connector 1010 therebetween . the connector is formed of a first connector member 1205 and a second connector member 1210 that coupled to one another such as in a male - female relationship . the connector members include a ratchet interface that permits the two connector members to be pushed toward one another in an interlocking fashion . the ratchet interface permits the two members 1005 to be successively moved toward one another and locked in successively closer positions so as to vary the size of the space s . the configuration of the ratchet can be varied to permit various increments of relative movement between the two members 1005 . in yet another embodiment , shown in fig1 , the device includes a pair of members 1005 that are monolithically coupled to one another via a connector 1305 that is monolithically attached to the two members . a set of pads 1317 are positioned on the members wherein the pads 1317 include attachment elements such as spikes . the pads 1317 define a space therebetween that is sized to receive an interspinous process . the positions of at least some of the pads can be moveably adjusted to vary the size of the space s between facing pads . although embodiments of various methods and devices are described herein in detail with reference to certain versions , it should be appreciated that other versions , embodiments , methods of use , and combinations thereof are also possible . therefore the spirit and scope of the appended claims should not be limited to the description of the embodiments contained herein .
disclosed is a device that is configured to be implanted adjacent interspinous processes of a patient . in one aspect , a spinal implant device comprises : a spacer region adapted to be positioned between first and second spinous processes of first and second vertebral bodies to limit movement of the first spinous process and the second spinous process toward one another ; and an attachment region attached to the spacer region , the attachment region adapted to attach to the first spinous process via a fastener , the attachment region comprising a pair of pads having attachment elements that are configured to attach onto the spinous process