A vertebral manipulation assembly includes a vertebral fixation assembly that is configured to be attached to a first vertebra and a second vertebra that is spaced from the first vertebra. The vertebral fixation assembly can include vertebral fixation members that attach to the first and second vertebrae, respectively. The vertebral manipulation assembly can further include a vertebral manipulation instrument that is configured to be coupled to the vertebral fixation assembly, and provide a first compression force that biases the first and second vertebral fixation members to move toward each other, and a second distraction force that biases the first and second vertebral fixation members to move away from each other. The vertebral manipulation instrument can include a coarse adjustment assembly that, when actuated, causes the first and second vertebral fixation members to incrementally move with respect to each other in first increments. The vertebral manipulation instrument can further include a fine adjustment assembly that, when actuated, allows for finer adjustment of the position of the first and second vertebral fixation members.
