The system includes 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. A coupling joint secures the posts to a table upon which a spine surgery patient is resting. 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, to the pedicle screws, other portions of the system can then be removed. The pedicle screws and spine rods remain implanted to hold the vertebrae in their de-rotated positions.
