A facet joint replacement system includes an inferior implant with an
inferior articular surface, a superior implant with a superior articular
surface, and an optional crossbar. The inferior implant and the superior
implant are each polyaxially adjustably connected to fixation elements
which anchor the implants to adjacent vertebrae. The optional crossbar
may be polyaxially adjustably connected to bilateral implants. The system
components may be provided in kits which provide components of various
sizes and shapes. A set of surgical instruments may facilitate
implantation of the facet joint replacement system by providing tools for
bone preparation, trialing, implant insertion, implant alignment, and
lock-out of modular interconnections.