[Traumatic lesions of the occipitocervical transition]

The availability of better and quicker resuscitation means that more patients with occipitocervical injuries survive. In view of the complex anatomy and functional capabilities of the upper part of the spine it makes sense to discuss injuries to this part separately from any to the lower cervical and thoracolumbar vertebral column. Computerized tomography with additional multiplanar reconstructions, digital radiography and magnetic resonance imaging early in the diagnostic workup improves the likelihood of a quick and satisfactory diagnosis. Our classification of injuries should enable the radiologist to provide the traumatologist with enough information on the damage to bones and soft tissue to allow an accurate assessment of stability, which is mandatory for the selection of appropriate treatment.