From 2006 to 2025, Swedish emergency hospitals treated 170,995 injured drivers and passengers in passenger cars (52% men, 48% women). Pelvic fractures occurred in 1,198 individuals (0.7%), with 78% having one fracture and 22% having multiple fractures. The proportion of pelvic fractures increased with age and when seat belts were not used. Drivers comprised 71% of injured, front passengers 14%, and rear passengers 8%.