Have to call this on "busted".
At least on my set-up (an 8" Mak on an EQ6).
The spotter - attached directly to the Mak - made the rig very back-heavy Also, the problem of axis movement still remains and and any set of rings or guidscope brackets would be unlikely to fit the odd shape.
I dunno about a ball-head and I'm not really bothered.
Makes a great wide-field companion scope though!
Stellarvue makes an excellent 50mm finder that doubles as a spotting scope. It has quite a flat field and is virtually coulour-free. It also has a 1.25" RACI diagonal with a helical focuser that can accomodate any 1.25" EP, and a standard tripod mount for attachement to same. It's a corker and about $180-200 imported from OPT.
There are 60 & 80mm models as well, but I've read many places that they are not as good optically.
Unless you are truly determined, I'd give it a miss.