Abstract
Eighteen patients with vertically unstable sacral fractures in type C of AO classification, who underwent open reduction and internal fixation, were investigated. Vertically unstable sacral fractures were fixed using a M-Shaped Pelvic Plate prepared by the author with posterior longitudinal incision. The postoperative results were determined by Majeed's functional evaluation and radiography. Excellent in 12 and good in 3. Poor cases were infection and sciatic nerve paralysis. M transiliac plate fixation was achieved by rigid fixation with less invasion for vertically unstable sacral fractures.