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Tile Classification of Pelvic Fractures
OrthopedicsTile Pelvic Ring Classification
1. Stability Category
Select Anatomy
Choose the main stability category and specific subtype to see the orthopedic classification and management guide.
Guidelines & Evidence
Verified
Last Review: 2026
When to Use
The Tile classification is an anatomically-based system used to describe the stability of the pelvic ring. It is used by trauma and orthopedic surgeons to determine the need for surgical stabilization and to plan the operative approach. Unlike the Young-Burgess system (which focuses on mechanism), Tile focuses on the integrity of the posterior sacroiliac complex.
The core question of the Tile system is: Is the posterior pelvic ring (sacroiliac joint/ligaments) intact? This determines whether the injury is stable (A), rotationally unstable (B), or vertically unstable (C).
Related Scores in Practice
In clinical practice, this assessment is frequently evaluated alongside other validated measures. Depending on the patient's presentation and specific diagnostic requirements, you may also need to utilize the Young Burgess Classification, Pelvic Trauma Hemorrhage Risk, or the Iss Score to formulate a comprehensive care plan.
