The present invention provides a spinal alignment system comprising at least one vertebral coupler, at least one reference device and a surgical orientation device. The present invention further provides methods using the spinal alignment system to assist in alignment of the spine during a surgical procedure to correct a deformity due to trauma or degeneration. The present invention also provides a pedicle screw navigation system comprising of a pedicle screw navigator, a first reference device, a second reference device and a surgical orientation device. The present invention provides methods using the pedicle screw navigation system to assist in determining the proper orientation of a pedicle screw during spinal surgery.
