A rod reduction device characterized in that said device comprises: a rod reduction sleeve, a reduction rod, and an advancing knob; the reduction sleeve comprises a hollow, cylindrical shaped body having an internal reduction sleeve channel, reduction rod engagement slots on a first end, and rod engagement radii on a second end; the reduction rod comprises external reduction rod threads on a first end and first and second extenders (548a, 548b) extending radial from the outer surface proximal a second end; the first and second extenders engage with the reduction rod engagement slots; the advancing knob comprises internal advancing knob threading matched to the external reduction rod threads; an inner tube comprises a hollow, cylindrical body having a first inner tube end, a second inner tube end, a first inner tube slot, a second inner tube slot diametrically opposed across the cylindrical body, a first finger slot, and a second finger slot diametrically opposed to the first finger slot; fingers each disposed within respective first and second finger slots (561a, 561b) for engagement with a head of a pedicle screw, finger cam pins, and a release ring; the 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 adjacent to the finger first end with a 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; the finger aperture disposed between the finger hook and the finger slot; the first inner tube slot and the second inner tube slot are open toward the second inner tube end; the fingers are disposed in the first finger slot and the second finger slot with the fingers oriented to dispose the finger hooks proximal the second inner tube end and the finger hook undercuts toward the interior of the inner tube; and movement of the release ring from a first position to a second position moves the finger cam pins from a second end of the finger slot to the first end of the finger slot thereby positioning the fingers for insertion of the head of a pedicle screw. a rod reduction sleeve, a reduction rod, and an advancing knob; the reduction sleeve comprises a hollow, cylindrical shaped body having an internal reduction sleeve channel, reduction rod engagement slots on a first end, and rod engagement radii on a second end; the reduction rod comprises external reduction rod threads on a first end and first and second extenders (548a, 548b) extending radial from the outer surface proximal a second end; the first and second extenders engage with the reduction rod engagement slots; the advancing knob comprises internal advancing knob threading matched to the external reduction rod threads; an inner tube comprises a hollow, cylindrical body having a first inner tube end, a second inner tube end, a first inner tube slot, a second inner tube slot diametrically opposed across the cylindrical body, a first finger slot, and a second finger slot diametrically opposed to the first finger slot; fingers each disposed within respective first and second finger slots (561a, 561b) for engagement with a head of a pedicle screw, finger cam pins, and a release ring; the 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 adjacent to the finger first end with a 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; the finger aperture disposed between the finger hook and the finger slot; the first inner tube slot and the second inner tube slot are open toward the second inner tube end; the fingers are disposed in the first finger slot and the second finger slot with the fingers oriented to dispose the finger hooks proximal the second inner tube end and the finger hook undercuts toward the interior of the inner tube; and movement of the release ring from a first position to a second position moves the finger cam pins from a second end of the finger slot to the first end of the finger slot thereby positioning the fingers for insertion of the head of a pedicle screw.