Spinal implants and methods of inserting the implants into an interspinous space and into engagement with spinous processes. The implants may include first and second arms that are separately inserted into the patient. The arms may be attached together within the patient in an overlapping arrangement and pivotally connected at a joint. The arms may be moved about the joint with first ends of each of the arms on a first side of the joint contacting against opposing lateral sides of a first spinous process and second ends of each of the arms on a second side of the joint contacting against opposing lateral sides of a second spinous process. A securing member may contact against the arms and secure the orientation of the arms.