Resects posterior elements during en bloc spondylectomy and aggressive tumor debulking when thick cortical bone must be removed from the vertebral arch. The spine Stille-Leksell rongeur handles the dense bone of the pedicle and transverse process during three-column resection. Oncologic spine surgeons use it to widen the corpectomy margin while maintaining dural protection.

Cuts through thickened lamina and facet bone during wide decompressive laminectomy for multilevel lumbar spinal stenosis. The spine-specific double-action jaws generate sufficient force to bite through cortical bone in patients with facet hypertrophy and ligamentum flavum ossification. Deformity surgeons use it when performing posterior column osteotomies through the facet joint.

Removes disc material and endplate cartilage from the intervertebral space during transforaminal lumbar interbody fusion through a minimally invasive tubular retractor. The narrow double-action tip fits within the Kambin triangle to nibble bone along the endplate without breaching the anterior longitudinal ligament. MIS spine surgeons use it to prepare the fusion bed before expandable cage deployment.

Punches through the inferior lamina during bilateral laminotomy to access the spinal canal for central disc herniation at L4–L5. This spine-catalog punch rongeur is sized for the deeper lumbar canal compared to standard orthopedic variants. It allows the surgeon to remove bone in controlled bites while protecting the underlying dura with a cottonoid patty.