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ORIF is preferred for definitive management and has been demonstrated to give su perior results. Operative indications 1.

diastasis of the pubic symphysis greater than 2.5 cm 2. sacroiliac joint dislocations, 3. displaced sacral fractures 4. crescent fractures 5. posterior or vertical displacement of the hemipelvis (>1 cm) 6. rotationally unstable pelvic ring injuries 7. sacral fractures in patients with unstable pelvic ring injuries that require mobilization 8. displaced sacral fractures with neurologic injury.