An instrument for grasping an end of a spinal rod and percutaneous insertion of the spinal rod includes a curved housing, an immovable lip, a first slot, a pivoting lip, a slidable rod, and a threaded mechanism. The curved housing includes an interior channel extending from a proximal end to a distal end. The immovable lip extends from the distal end and the first slot is in a side wall of the distal end. The pivoting lip rotatably couples to the distal end opposite the immovable lip. The slidable rod is dispose within the interior channel and slidably coupled at a first end to the first slot and a second slot of the pivoting lip. The threaded mechanism is within a portion of the proximal end and rotatably engages with a second end of the slidable rod to translate the slidable rod within the interior channel to position the pivoting lip relative to the immovable lip.