Abstract: A pedicle screw distractor and reduction instrument that includes a main body including a distraction tab and a reduction foot; a secondary link pivotably mounted to the main body; a drive link coupled between the secondary link and the distraction aperture; a distraction actuator coupled to the drive link and structured to move the main body relative the secondary link; a proximal anchor pivotably coupled to the secondary link and including a proximal anchor foot configured to engage a proximal pedicle screw; a distal anchor pivotably coupled to the main body and including a distal anchor foot configured to engage a distal pedicle screw; and a reduction actuator engaged between the reduction foot and the distal anchor to move the distal anchor foot relative to the main body.