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Open-book pelvic fractures are generally associated with high energy trauma. Occasionally these fractures are seen as a complication of normal vaginal delivery. We report the case of a 25-year-old female with a 77 mm symphysis pubis diastasis with associated disruption of the sacroiliac joints following delivery, which was successfully treated with open reduction and internal fixation.doi:10.17159/2309-8309/2017/v16n1a2 fatcat:hfsxxgtsm5duxcykmx3bsx5g2u