Case ReportThe Antishock Iliosacral ScrewGardner, Michael J MD*; Chip Routt, M L Jr MD†Author Information From the *Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO; and †Department of Orthopaedic Surgery, Harborview Medical Center, Seattle, WA. Accepted for publication October 27, 2009. No funds were received for this work; Dr. Gardner is a consultant for Synthes. Reprints: Dr. Michael J. Gardner, MD, Washington University School of Medicine, Department of Orthopaedic Surgery, 660 S. Euclid Ave, Campus Box 8233, St. Louis MO, 63110 (e-mail: email@example.com). Journal of Orthopaedic Trauma: October 2010 - Volume 24 - Issue 10 - p e86-e89 doi: 10.1097/BOT.0b013e3181c81d65 Buy Metrics Abstract Acute traumatic pelvic ring injuries are associated with life-threatening hemorrhage related to pelvic instability. Rapid and effective methods to mechanically stabilize the pelvic injury are often a prerequisite for patient survival. Most of these methods have significant disadvantages because of either difficult application or limited efficacy. Pelvic antishock clamp placement is difficult and dangerous, and circumferential pelvic antishock sheeting is not universally effective in reducing and stabilizing the pelvic ring. We describe a technique of acute posterior pelvic ring reduction and stabilization using a percutaneously inserted iliosacral screw as a resuscitation adjunct. © 2010 Lippincott Williams & Wilkins, Inc.