Figure 3: Widening the split spinous processes using a scissors (Maechenbaum) and decompression of the spinal cord using a rongeur (partially modified [13], permitted by MIWA-SHOTEN Ltd.)
A scissors is inserted between the split spinous processes to widen the space. Decompression of the spinal cord is performed by resecting the constricting fibrous band above the dura mater and the hypertrophied yellow ligament using a rongeur.

figure 3