Background- Despite mounting evidence that internal fixation is the gold standard for treating Type C pelvic ring injuries, surgeons continue to disagree on the best approach to this complex medical problem. Patients: Patients who had undergone regular reduction and internal fixation operations for pelvic ring injuries of type C1-C3 were the subjects of our study. There were twenty-one patients who participated in successive surgeries. Results - A beautiful reduction followed by a successful pelvic ring fixation seems to be related with a positive result, according to the findings of our study. Damage to the lumbosacral plexus that had been present for an extended period, inability to achieve fixation, and inadequate reduction (dislocation that was more than 5 millimeters) were the most prevalent causes of worse outcomes. Conclusion - According to the findings of our study, the most severe sacral fractures need more attention not only during preoperative planning but also during fracture reduction, nerve root decompression, and implant placement. Our study's results suggest that the best approach to restoring pelvic ring balance is a combination of posterior fixation and internal fixation for rami fractures that are misplaced (>10 mm), evanescent, or have anomalies in the symphysis.