Introduction:Pediatric pelvic fractures are most commonly associated with high energy fractures, mostly due to motor vehicle accidents. Children poorly tolerate any significant blood loss, so, any child presents with a pelvic fracture must be investigated for multi-organ injury, or possible life -threatening retroperitoneal hemorrhage, with an increased potential for death. Method: A literature search was conducted to included articles from 2001 till 2017on pediatric pelvic fracture, including stable and unstable fractures, acetabular, and sacroiliac joint injuries, and excluded adult population. Results: Conservative management is the main treatment in hemodynamically stable patients, with good anatomical reduction, however , in a hemodynamically unstable patients, external fixator is the gold standard as a temporary management.This, most often is followed by open or closed reduction with internal fixation by screws only or plates and screws, which is consistent with achieving early stability, better union rates and hence early return to normal daily activities.