The ruling effectively ends a mandatory 72-hour waiting period between an appointment and surgical abortion, along with other now unconstitutional state laws.
Spears has many supporters who have advocated for his release, including group of retired St. Louis police officers who run a popular policing podcast.
"The Medical Examiner contacted the Homicide Division to advise the 64-year-old man suffered from internal neck injuries consistent with strangulation," police said.