Systems and methods for manipulating a spinal construct are provided herein. In general, the system includes first and second sleeves extending from vertebrae and a fulcrum that can be releasably coupled to the sleeves. In certain aspects, the fulcrum can receive a portion of the sleeves therein and can allow the sleeves to pivot about the fulcrum in response to an applied force. The fulcrum can releasably couple to the sleeves in a variety of ways, and a position of the fulcrum relative to the sleeves can vary depending on whether there is an applied distracting, compressing, and/or derotating force. In some embodiments, user can manipulate the first and second sleeves relative to the fulcrum, using one hand, to distract, compress, and/or derotate the vertebrae.
