Vertical Shear Pelvic Ring Injuries: Management Algorithm

Abstract Vertical shear pelvic ring injuries are multidirectionally unstable. Indirect pelvic reduction can be performed and can facilitate concurrent lifesaving interventions. Because of the inherent instability, fixation methods should be fortified with many methods to avoid loss of fixation and recurrence of deformity. Outcomes are related to final reduction quality, neural injury, and polytrauma.