A spacing device is provided for adjusting or measuring the spacing between adjacent vertebral bodies. The spacing device has a distal end with at least one distraction member adapted for insertion into an intervertebral disc space and movable between a low profile first configuration and a higher profile second configuration. Also provided is an actuator for moving the distraction member between the first configuration (for delivery of the distal end of the spacing device to a target disc space) and the second configuration (for manipulation or measurement of the space between adjacent vertebral bodies).