An instrument for spinal rotation that aligns and holds direct vertebral rotation (DVR) lever arms (21) relative to each other to achieve an initial axial alignment of a segment of vertebrae (1a - Id) and allows the final DVR rotation by rotating the instrument and lever arms (21) together. A method of direct vertebral rotation that allows rotating the vertebrae (1a - Id) to be aligned relative to each other, and collectively rotating the vertebrae (1a - Id) to be aligned relative to adjacent spinal segments by rotating the direct vertebral rotation instrument. A system for direct vertebral rotation having at least two pedicle screws (11). The system also includes at least two levers attachable to the pedicle screws (11) and a clamping instrument (31) configured to clamp the levers.
