Use of elevator and ball spike pusher for correction of residual deformity of proximal segment. A, Preoperative deformity. B, Intraoperative lateral fluoroscopic image without reduction aids. Intraoperative anteroposterior (C) and lateral (D) fluoroscopic images showing elevator and ball spike pusher used to correct sagittal and coronal plane deformities. E, After reduction. (Courtesy Richard Kyle, MD, Minneapolis, MN.) SEE TECHNIQUE 55.7.