Quade J, et al. - Through a retrospective chart review on 471 consecutive patients who underwent percutaneous posterior pelvic fixation over 10 years, with 7 excluded for spinopelvic fixation, and 7 excluded due to age <16-year-old, the researchers estimated the incidence of symptomatic iliosacral (SI) screw removal following pelvic trauma and in order to assess the clinical impact of the secondary intervention. Twenty-five out of 457 enrolled patients underwent screw removal. Out of 25, 23 were analyzed since two patients were lost during follow-up. Thirteen SI and 10 trans-sacral screws were removed. Prior to removal, 4 screws were found loose. Fifteen patients and 3 patients had subjective or no notable improvement, respectively. Hence, low (5.4%) incidence of symptomatic SI screws constraining removal was recognized. Post-removal, there was a high likelihood (83%) that the secondary intervention would result in subjective symptomatic improvement. Since most patients could endure the implants without symptoms that necessitate subsequent surgery, routine screw removal was observed as an unnecessity.