The system includes multiple pedicle screws anchored to multiple vertebra, at least one of which needs to be de-rotated about a central spine axis relative to adjacent vertebrae. Elongate posts are attached to the pedicle screws and extend away from the pedicle screws. A holder, such as in the form of multiple clamps and bars and a de-rotation rod, hold the posts together after de-rotation of a mis-rotated vertebra. With the vertebra held where desired, a spine rod can then be attached to heads of the pedicle screws to hold the vertebrae in their desired positions. After spine rod attachment, the posts and associated portions of the system other than the pedicle screws and spine rods can then be removed, with the pedicle screws and spine rods typically remaining implanted to hold the vertebrae in their desired and de-rotated positions.
