A rod reducer (50) comprises a reducing mechanism (58), a hinge mechanism (56), a handle mechanism (60) and a bearing mechanism (52). The reducing mechanism comprises a first elongate member extending along an axis to engage a bone anchor, and a second elongate member configured to slide along the first elongate member to engage a rod. The hinge mechanism slidably couples the first and second elongate members such that the elongate members can translate against each other. The handle mechanism comprises handles coupled to the hinge mechanism and configured to cause the first and second elongate members to translate relative to each other. The bearing mechanism is configured to permit the handles to rotate about the axis independent of the elongate members. Methods of using the rotating rod reducer are also described.