Pelvic injury (PT) is perhaps the most intricate wounds in injury mind and happen in 3% of skeletal wounds. The point of this imminent investigation was to highlight utilizing percutaneous iliosacral screw obsession strategy in treatment of sacroiliac breaks or separation with exceptional reference to the actual procedure, its advantages, perils, impediments and difficulties. This is a planned report that will incorporate 20 patients of the two sexual orientations having SIJ disengagement fixed with percutaneous screw with a subsequent time of a half year postoperative. All patients have been evaluated radiologically by Plain radiographs X-beam Antero-back, horizontal, gulf and outlet perspectives on the pelvis. In the activity theater we need (C-arm X-beam unit) for imaging perspectives to keep away from blunders during ISS obsession of the crack. All patients were surveyed by Majeed scoring framework toward the finish of the subsequent period The general outcomes were considered as palatable in 16 (80%) patients; 8 (40%) were superb and 8 (40%) were acceptable and just 4 (20%) patients were unacceptable; 3 (15%) were reasonable and one (5%) was poor. Iliosacral screw obsession is an exquisite choice for balancing out the back sore which is basic wellspring of lingering pain.The component of injury doesn't appear to influence the clinical result of the patients engaged with this examination.