Privalov M, Beisemann N, Swartman B, et al. - In view of the regular use of intraoperative imaging for intraoperative reduction control and evaluation of the implant position in trauma surgery, researchers here examined the potential of intraoperative computed tomography (iCT) in the surgical treatment of SI injuries. They assessed a total of 25 cases with injuries of the posterior pelvic ring involving the SI region that were surgically treated with navigated SI screws using the mobile iCT Airo (Brainlab, Munich, Germany). Finally, they compared the data with historical control groups (CBCT with and without navigation; 2D fluoroscopy only). As per the evidence gained, iCT gives excellent image quality that renders reliable assessment of fracture reduction and implant placement even in complex anatomical regions. For the medical staff, radiation exposure is decreased by reducing the fluoroscopy time without significantly prolonging the surgical time. Overall, the probability of intraoperative correction improves clinical result and individual treatment in the long term.