A rod reduction device comprising: a reduction sleeve body, a reduction rod disposed within the reduction sleeve body, a retractor sleeve, and an advancing knob; the reduction sleeve body having a first reduction sleeve end, a second reduction sleeve end and reduction rod engagement slots; wherein the reduction rod comprises external reduction rod threads on a first reduction rod end and first and second extenders (548a, 548b) extending radially from the outer surface proximal of a second reduction rod end; the first and second extenders (548a, 548b) engage with reduction rod engagement slots; wherein the advancing knob comprises internal advancing knob threading matched to the external reduction rod threads; an inner tube body having a first inner tube end, a second inner tube end, a first inner tube slot, a second inner tube slot opposed from the inner tube body, a first finger slot, and a second finger slot opposed from the first finger slot; first and second fingers each disposed within respective first and second finger slots (561a, 561b); the first and second fingers each comprise a finger hook having a finger hook undercut, a finger slot, a finger first end, a finger second end, and a finger aperture; the finger slot having a first end distal the finger hook with a first width sufficient to permit finger cam pin to slide through but not enough for substantial lateral movement transverse to the sliding direction and a second end proximal the finger hook with a larger width to form a clearance fit with the finger cam pin; a release ring; wherein the retractor sleeve comprises a first retractor sleeve arm having a distal end, a proximal end, and a first finger cam pin connected at the distal end in a lateral orientation, wherein the proximal end of the first retractor sleeve arm is connected to the release ring and wherein the first retractor sleeve arm is movable along the longitudinal axis; and a second retractor sleeve arm disposed opposite the first retractor sleeve arm, wherein the second retractor sleeve arm has a distal end, a proximal end, and a second finger cam pin connected at the distal end in a lateral orientation, wherein the proximal end of the second retractor sleeve arm is connected to the release ring, and wherein the second retractor sleeve arm is movable along the longitudinal axis; and movement of the release ring from a first position to a second position moves the finger cam pins from the second end of the finger slot to the first end of the finger slot thereby positioning the first and second fingers for insertion of the head of a pedicle screw. a reduction sleeve body, a reduction rod disposed within the reduction sleeve body, a retractor sleeve, and an advancing knob; the reduction sleeve body having a first reduction sleeve end, a second reduction sleeve end and reduction rod engagement slots; wherein the reduction rod comprises external reduction rod threads on a first reduction rod end and first and second extenders (548a, 548b) extending radially from the outer surface proximal of a second reduction rod end; the first and second extenders (548a, 548b) engage with reduction rod engagement slots; wherein the advancing knob comprises internal advancing knob threading matched to the external reduction rod threads; an inner tube body having a first inner tube end, a second inner tube end, a first inner tube slot, a second inner tube slot opposed from the inner tube body, a first finger slot, and a second finger slot opposed from the first finger slot; first and second fingers each disposed within respective first and second finger slots (561a, 561b); the first and second fingers each comprise a finger hook having a finger hook undercut, a finger slot, a finger first end, a finger second end, and a finger aperture; the finger slot having a first end distal the finger hook with a first width sufficient to permit finger cam pin to slide through but not enough for substantial lateral movement transverse to the sliding direction and a second end proximal the finger hook with a larger width to form a clearance fit with the finger cam pin; a release ring; wherein the retractor sleeve comprises a first retractor sleeve arm having a distal end, a proximal end, and a first finger cam pin connected at the distal end in a lateral orientation, wherein the proximal end of the first retractor sleeve arm is connected to the release ring and wherein the first retractor sleeve arm is movable along the longitudinal axis; and a second retractor sleeve arm disposed opposite the first retractor sleeve arm, wherein the second retractor sleeve arm has a distal end, a proximal end, and a second finger cam pin connected at the distal end in a lateral orientation, wherein the proximal end of the second retractor sleeve arm is connected to the release ring, and wherein the second retractor sleeve arm is movable along the longitudinal axis; and movement of the release ring from a first position to a second position moves the finger cam pins from the second end of the finger slot to the first end of the finger slot thereby positioning the first and second fingers for insertion of the head of a pedicle screw.