Benke Michael, Yu Warren D, Peden Sean C, O'Brien Joseph R
Department of Orthopaedic Surgery, Geroge Washington University, Washington, DC, USA.
Am J Orthop (Belle Mead NJ). 2011 Oct;40(10):E205-15.
The occipitocervical junction (OCJ) is a highly specialized area of the spine. Understanding the unique anatomy, imaging, and craniometry of this area is paramount in recognizing and managing the potentially devastating effects that pathology has on it. Instrumentation techniques continue to evolve, the goal being to safely obtain durable, rigid constructs that allow immediate stability, anatomical alignment, and osseous fusion. This article reviews the pathologic conditions at the OCJ and the current instrumentation and fusion options available for treatment. The general orthopedist needs to recognize the pathology common in this region and appropriately refer patients for treatment.
枕颈交界区（OCJ）是脊柱的一个高度特殊的区域。了解该区域独特的解剖结构、影像学表现和颅骨测量方法对于认识和处理病理情况对其可能产生的毁灭性影响至关重要。器械技术不断发展，目标是安全地获得持久、坚固的结构，以实现即时稳定性、解剖复位和骨融合。本文综述了枕颈交界区的病理状况以及目前可用于治疗的器械和融合选择。普通骨科医生需要认识到该区域常见的病理情况，并适当地将患者转诊进行治疗。
