Fig. 7A–D.

Preoperative (A) inlet and (B) outlet radiographs illustrate initial pelvic ring injury with left superior and inferior rami fractures and a concomitant pubic root fracture. Postoperative (C) inlet and (D) outlet pelvic radiographs show left iliosacral screw fixation and bilateral plate-rod pelvic bridge fixation with crossconnector at the midline and pedicle screws into the parasymphyseal region. Though the left-sided parasymphyseal pedicle screw appears to go into fracture, the surgeon drilled, measured, and concluded worthwhile fixation was achieved.