Introduction
Complex pelvic fractures can be frustrating to treat. High-energy pelvic ring disruptions often are associated with severe local soft tissue injuries that complicate management. Percutaneous posterior pelvic ring fixation became attractive with the refinement of fluoroscopy. Originally, iliosacral screw fixation of the posterior pelvis was described with the patient in the prone position. We describe the technique of placement of percutaneous iliosacral screws with the patient in the supine position.