Pelvic fractures have a wide spectrum of severity depending on the strength of the trauma, rangingfrom low energy injuries, usually by lateral forces, until secondary lesions to high-energy trauma with pelvic ringinstability, and high rates of morbidity and mortality. High-energy pelvic fractures require advanced life supportand the first step in treatment is to reduce pelvic bleeding with external fixation and to continuing instabilityembolization angiography techniques or packing. Later, when patient is hemodynamically stable the goal is toachieve an anatomical reconstruction of pelvic ring which is considered nowadays the most powerful predictor offunctional recovery. Less invasive and percutaneous stabilization techniques have emerged in recent years. Nevertheless,despite the progress in treatment, pain, sexual dysfunction or chronic persistent neurological problemsare associated with more severe injuries.

Pelvic fractures have a wide spectrum of severity depending on the strength of the trauma, rangingfrom low energy injuries, usually by lateral forces, until secondary lesions to high-energy trauma with pelvic ringinstability, and high rates of morbidity and mortality. High-energy pelvic fractures require advanced life supportand the first step in treatment is to reduce pelvic bleeding with external fixation and to continuing instabilityembolization angiography techniques or packing. Later, when patient is hemodynamically stable the goal is toachieve an anatomical reconstruction of pelvic ring which is considered nowadays the most powerful predictor offunctional recovery. Less invasive and percutaneous stabilization techniques have emerged in recent years. Nevertheless,despite the progress in treatment, pain, sexual dysfunction or chronic persistent neurological problemsare associated with more severe injuries.