The present invention expands a spinal canal by drilling a cylindrical
passage in each pedicle of a vertebra, making a circumferential pedicle
cut (osteotomy) through each pedicle from within the passage, separating
each pedicle cut by inserting an implant into the passage which distracts
the pedicle cut to expand the spinal canal, and securing each pedicle
cut, allowing the vertebra to heal with the spinal canal expanded. The
implant includes an outer sleeve, an inner bolt, and expandable flanges.
The outer sleeve includes an upper portion and a lower portion, with the
expandable flanges connected to the lower portion and housed within the
upper portion. Rotation of the inner bolt causes the upper and lower
portions of the outer sleeve to separate, causing the pedicle cut to
widen and the expandable flanges to radially extend into and stabilize
the widened pedicle cut to effectuate expansion of the spinal canal.