Embodiments are directed to spinal treatments and, more particularly, to a compression device for use in spinal surgery that includes integrated compression and distraction. In an exemplary embodiment, the present invention provides a compression device for use in a spinal surgery. The compression device may comprise a first sleeve having a proximal end and a distal end, wherein the distal end of the first sleeve is arranged for placement over at least a portion of one or more pedicle screw tulip. The compression device may further comprise a second sleeve having a proximal end and a distal end, wherein the distal end of the second sleeve is arranged for placement over at least a portion of one or more additional pedicle screw tulip. The compression device may further comprise a linear drive, wherein the linear drive is operable to cause movement of the first sleeve and/or the second sleeve for compression and/or distraction.
