Non-invasive tracking methods and devices are provided that are configured to track at least one selectable internal element within a patient, such as a vertebra, relative to an external point outside of the patient's body, such as a reference point within an operating room. For example, in one embodiment, a patch is provided and is configured to be removably attached to skin of a patient, and to track a distance relative to the patch of at least one selectable element within a patient. The patch can also be configured to be tracked by an external monitoring system that tracks its orientation and location relative to the monitoring system, thereby indicating a position of a vertebra.