Technical TrickThe Utility of the Hyperinlet View in Posterior Fixation of Pelvic Ring InjuriesGosselin, Michelle M. MDa; Dennis, Garret S. BAb; Gary, Joshua L. MDc Author Information aNavy Trauma Training Center, LAC-USC Medical Center, Los Angeles, CA; bMcGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX; and cDepartment of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA. Reprints: Joshua L. Gary, MD, Department of Orthopaedic Surgery, Keck School of Medicine of University of Southern California, 1520 San Pablo St, Suite 2000 Los Angeles, CA 90033 (e-mail: [email protected]). The authors report no conflict of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jorthotrauma.com). Journal of Orthopaedic Trauma: May 2022 - Volume 36 - Issue 5 - p e195-e200 doi: 10.1097/BOT.0000000000002265 Buy SDC Metrics Abstract Summary: Percutaneous pelvic fixation has evolved into a widely used, safe, and effective treatment option in the management of pelvic ring injuries. Proper preoperative and intraoperative radiographic evaluation of these injuries is critical to ensure safe placement of fixation of the pelvis. Traditional intraoperative views for posterior pelvic ring fixation include the pelvic inlet and outlet views. We propose that the intraoperative use of a hyperinlet view, which uses additional cranial tilt relative to the traditional inlet view, is helpful to better delineate the spinal canal and thereby better define the posterior limit of the osseous fixation pathway of the upper sacral segments. This study illustrates the use of this novel radiographic view and presents a patient cohort in which it was effectively used. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.