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We describe an anterior and posterior pelvic ring construct, with emphasis on the posterior construct, to treat a vertical displacement fracture in a 2-year-old girl who was struck by a motor vehicle. Eighteen months after her injury, radiographs showed intact sacroiliac joints and symmetrical pubic symphysis. Although commonly performed in adults, pelvic fixation is challenging in children because of the small size of the child's pelvis and osseous fixation pathways. However, this approach enabled successful vertical stabilization of
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