Abstract: A hook for spinal compression and distraction instrumentation comprises a main body section having a pair of opposite side surfaces, opposite top and bottom surfaces and opposite front and rear surfaces. A hook portion is connected to and extends from the front surface of the main body section. A longitudinal passageway completely extends through the main body section from the top surface thereof to the bottom surface thereof, and the longitudinal passageway includes front and rear portions. A slotted opening in one of the side surfaces communicates with the front portion of the longitudinal passageway and is positioned closer to the hook portion than the rear portion of the longitudinal passageway. The hook cooperates with a support rod positioned within the longitudinal passageway via the slotted opening in the side surface.