The present invention provides tools to distract, compress, and measure a vertebral body segment. In one aspect of the invention, a tool includes a handle assembly and a locking mechanism operable between a first condition in which handle portions can translate and pivot relative to one another and a second condition in which the handle portions are fixed translatably. In another aspect of the invention, a tool for distracting and compressing a vertebral body segment includes a measuring device to simultaneously indicate the length of a connecting element for coupling the fasteners. In another aspect of the invention, a measurement device includes indicia defined by a locus of points corresponding to a particular connecting element length. In another aspect of the invention, a method of coupling a first fastener engaged with a first vertebrae to a second fastener engaged with a second vertebrae is provided.