[Percutaneous iliosacral screw fixation of vertical unstable pelvic ring fractures]

In type C pelvic ring fractures ORIF is the treatment of choice. Early definitive fixation often is not possible due to severe soft tissue injuries and hemorrhage. The percutaneous iliosacral screw fixation with the patient supine offers a minimally invasive and definitive fixation method of the posterior unstable pelvic ring also in acute situations. Our first experience shows that a ventral stabilisation is necessary in combination with one dorsal screw. Both fixations are managed in the supine position of the patient during one anesthesia.