#$%^&*AU2020201965A120200409.pdf#####ABSTRACT The present invention discloses spinous process fixation devices, systems, and instruments. The spinous process realignment device, comprises a body; a first pair of moveable members engaged with the body on a first side; and a second pair of moveable 5 members engaged with the body on a second side opposite the first side. 27 10593088_1 (GHMatters) P104353.AU11/24 300 308 308 304 302 190-, 130 18 306 310 312 314 316 110 170 118 1583 310 312 31415 FIG. 12 192