A percutaneous transpedicular endovertebral device and system is disclosed. An example device includes a cannula having an internal lumen. The device also includes a trocar receivable within the cannula internal lumen. A flexible shaft cutting catheter is receivable through the trocar to form a cavity within a vertebrae structure and/or across intervertebral discs such that the cannuale can span across more than one vertebral body. A delivery tube is receivable through the trocar to deliver filling, biological agent, or other material to the cavity.
