A compression device (100) for use in spinal surgery that includes integrated compression and distraction. The present invention provides a compression device for use in a spinal surgery comprising a first sleeve (200) having a proximal end (230) and a distal end (235), wherein the distal end of the first sleeve is arranged for placement over at least a portion of one or more pedicle screw tulip. The compression device further comprising a second sleeve (200) having a proximal end (230) and a distal end (235), wherein the distal end of the second sleeve is arranged for placement over at least a portion of one or more additional pedicle screw tulip. The compression device further comprising a linear drive (215), wherein the linear drive is operable to cause movement of the first sleeve and/or the second sleeve for compression and/or distraction.
