Medical devices are disclosed. An example surgical spacemaking device may include an elongate element configured for insertion into a patient's body and including a distal end portion and an internal lumen, an inner element disposed generally coaxially within the internal lumen of the elongate element, an expandable element disposed generally circumferentially about a distal end portion of the inner element, and an actuator operable to reposition the expandable element between a contracted configuration and an expanded configuration. In the contracted configuration, the expandable element may have a relatively small diameter and, in the expanded configuration, the expandable element may have a relatively large diameter.