Case of a male patient (46 years old) who sustained a B2 Tile fracture injury with a Dennis III fracture of the iliac wing following a car accident. The first picture from the left shows the positioning of a percutaneous screw. The other three pictures (two coronal and one sagittal view of intra-op CT scan) show the appropriate screw positioning within S1 and S2 vertebral body with preservation of the perisacral neurovascular structures.