An orthopedic surgical spine measurement system comprises a first tool, a second tool, and a remote system. The first tool is a distractor having a plurality of load sensors for measuring load magnitude and position of load of a distracted region of the spine. The first tool and second tool also includes circuitry to measure a position and trajectory. The remote system receives data from the first tool and can display the parameter being measured and the position and trajectory of the first tool. A second tool holds a spine component. The remote system supports placement of the spine component by comparing the position and trajectory of the second tool to the path of the first tool. The remote system and second tool can provide visual, audible, or haptic feedback to support directing the second tool similarly to the first tool.
