![]() If you’re looking for the most reliable Pontiac Vibe year, you’re in good hands with the 2005 Pontiac Vibe. With a price range between $3,000-$8,000, this is the most reliable Pontiac Vibe year but also offers a tremendous value proposition. Although this Vibe’s top problem is the transmission system, it’s only a few complaints and not a cause for concern. For starters, the 2004 Vibe received fewer complaints and recalls than the debut model.ĬarComplaints collected 327 complaints (so far) and seven recalls for the 2004 Vibe. Thankfully, Pontiac has delivered a more compelling and reliable package with the 2004 Vibe. The common culprit for the Vibe’s transmission woes are faulty torque converter or clutch, failed transmission solenoid, and low transmission fluids. In addition, many owners also complained about transmission failure, where affected models had difficulty shifting gears. Experts have determined that the noise from the transmission bearing may be due to poor lubrication and manufacturing defects. Owners have complained about hearing clicking and tapping noises whenever the clutch was engaged. The most reported problem of the 2003 Vibe is bearing noise. According to, the 2003 Vibe is the worst model year of the hatchback, with 389 complaints and eight recalls, earning the “Beware of the Clunker” seal of disapproval. Reliability-wise, debut model years are generally troublesome with various reliability woes – sad to say, the 2003 Vibe was no exception. CoPilot is the smartest way to shop for used cars. Get a curated list of the best cars for sale in your area, as well as notifications if a similar vehicle is listed nearby at a lower price. The CoPilot car shopping app is the smartest way to buy a car. The Vibe wasn’t luxurious or fast, but people loved this hatchback for its practicality, and its affordable price makes it an excellent used car. Many people haven’t heard of the Vibe, so they also don’t know it shares all of its mechanical components with the legendary Toyota Corolla and is essentially a mechanical twin of the Toyota Matrix for U.S. But some years are more reliable than others.įor today’s post, we explore the two Pontiac generations and determine which is the most reliable Pontiac Vibe year and which models to skip. If you’re looking to buy a used Pontiac Vibe, you’ll be happy to know it’s a relatively reliable compact vehicle. However, while cars like the Chevy Cavalier fade into obscurity, the Pontiac Vibe has a cult following. Here’s what you need to know about the Pontiac Vibe years to avoid, which years are good, and some of the most common problems that affect the years to avoid. However, the Pontiac Vibe was discontinued due to the brand’s restructuring efforts. The Pontiac Vibe was released in 2003 and is widely considered the best compact car by GM (which is admittedly a low bar). In fact, the Vibe was well-received by critics and customers alike. Many vehicle lineups have been axed due to poor performance and overall quality – but not the Pontiac Vibe. That’s the case with the Pontiac Vibe, which became an obscure classic. However, a discontinued nameplate doesn’t mean it’s a bad vehicle. Meanwhile, some vehicles have shorter production runs before being taken off the market. With so many vehicle models and nameplates to choose from, some are bound to make an everlasting mark on the market and go on for several generations. Pontiac Vibe by Mr.choppers - CC-BY-SA-4.0
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![]() There are no practical moderator tools, like mute individuals or all, so please be aware of your microphone status and mute if not being used.Ĭlicking on the Microphone symbol with the X (red X) will mute your microphone, which has higher priority over the press to talk hotkey. Typically, additional information is shared via links in the chat box or the application (located at the bottom in the MacOS version) There is an ∺pp for smart devices, but I think it ranges from $1-$2 dollars as a one-time purchase depending on when you buy and your target platform. No video and no phone bridge are available. TeamSpeak is voice and chat messaging only. You can change to that channel by double-clicking on it no additional password will be needed. The meeting will be carried out in a different channel named "What comes next for LIGO?". This will place you in what is called the ∽efault Channel.At this point, when you select the ∼onnect button at the bottom you will be connected to the TeamSpeak service. Be sure to specify a unique, recognizable name for yourself in the Nickname: text field. Under ∼onnections->Connect->Server Address enter:, and for the Server Password: enter the server password. Now that this is set up, we can configure to connect to the TeamSpeak Server/Service setup at MIT.LSC/Virgo members can find the server password at others, please send email to and ask for the TeamSpeak server password for. You will need to know the password to connect to the TeamSpeak server to join the meeting.This seems to wander a bit, possibly because of other software using speakers and microphones having been used in the interim. NOTE: You should confirm each time connect with TeamSpeak that the preferences have still set to use the Phoenix Duet.I use the SHIFT key on my keyboard as the hotkey. (The other options tend to either cut out your voice if you speak quietly or produce a feedback loop if there is ambient noise). In the same preference subsection, I would suggest selecting the Push-To-Talk and selecting the hotkey that you press to speak. Once you have the software installed, go into the Preferences->Capture-> Capture Device: and select your Phoenix Duet it should be something like Phnx MT202pcs depending on the unit model you have. ![]() Select the appropriate one and follow the installation procedures for your environment. Here you will find different downloads specific to your operating system. You can download the TeamSpeak software for free at.As an alternative for reducing feedback noise, headphones will help. This will cut down on echos and feedback noise. I recommend using a Phoenix Duet Speakerphone if you have one.It works well with Macs, Windows and Linux computers. Here are instructions for getting started with TeamSpeak. TeamSpeak installation and connection instructions By Kent Blackburn ![]() ![]() The game moves away from the standard three country-specific campaign style, and allows the plot to play through more like a film style plot with interlaced story lines from the perspective of the player as Paul Jackson, a member of the United States Marine Corps 1st Force Recon and "Soap" MacTavish, a member of the British 22nd SAS Regiment. ![]() The game also became available on Steam on Novemfor pre-purchase and is available to play as of November 12, 2007.Ĭall of Duty 4: Modern Warfare introduces a variety of game play styles into the single player campaign completely new to the Call of Duty series. It was released on Novemin North America, on Novemin Australia, and on Novemin Europe. It is the fourth installment in the Call of Duty video game series (excluding expansions), the first not to be set during World War II. Call of Duty 4: Modern Warfare is a first-person shooter developed by Infinity Ward and published by Activision for Xbox 360, Playstation 3 and PC. ![]() This is used to create general or limited POAs. You can find financial POAs in California Probate Code Section 4401, called a Uniform Statutory Form Power of Attorney. In California, you must use the form created by the state for your POA. A healthcare POA is always a springing type since it only goes into effect if you cannot make your own medical decisions. For example, you could create it so that it takes effect only if you are incapacitated or so that it is effective for one month. Springing POA. A general or limited POA can be written so that it takes effect only at a certain time or under certain conditions (so it "springs" into action only at that time).Durable POA. A general or limited POA can be durable, which means it goes into effect when you sign it and remains in effect until you destroy or revoke it.In addition to the types of matters the POA covers, when the POA will become effective can also vary. Healthcare POA. Should you become incapacitated, this document gives your agent the right to make healthcare decisions on your behalf.You can authorize your agent to handle only that specific real estate transaction for you. For example, you may be planning a trip, but your new house's closing is scheduled while you are away. This is a very narrow POA that gives your agent the authority to act for you only in specific situations you list in the document. ![]() Limited POA. This is sometimes called a specific POA.General POA. This is the broadest kind of POA and gives your agent the right to handle a wide variety of financial matters for you.When you create a POA, you are called the principal, and the person you choose to act for you is called your attorney-in-fact or your agent. A power of attorney (POA) gives someone you name the authority to handle legal or financial matters for you under specific circumstances. ![]() ![]() Regardless of country of origin all tracks are sung in English, unless otherwise stated in our description. Thunderbyrd (click here for more of the same title)Īdd item to your basket for a postage/shipping quote Roger McGuinn (click here for complete listing) In Stock - Buy Now for shipping on Friday 7th July Irrespective of the source, all of our collectables meet our strict grading and are 100% guaranteed. We buy items as close to Mint condition as possible and many will be unplayed and as close to new as you could hope to find. This item is in Excellent condition or better (unless it says otherwise in the above description). Roger McGuinn Thunderbyrd US Promo vinyl LP album (LP record) Subsequently McGuinn recorded one more album for Columbia, a backward step trying too hard to reclaim lost glories and issued under the band name Thunderbyrd.Roger McGuinn Roger McGuinn - Promo Stickered US vinyl LP Promo McGuinn also showed a renewed enthusiasm for writing all tracks on Cardiff Rose were penned or adapted by him except for Dylan’s “Up To Me” and Joni Mitchell’s “Dreamland”, The band kicks up some serious dust, making a glorious racket out of “Rock And Roll Time” (remarkably redeeming themselves after the similarly titled song on the previous record), pulling off a confident pirate swagger on “Jolly Roger”, and taking Mitchell’s tune to the magical incendiary limit.Īlas, even with the goods in hand, commercial success was negligible. ![]() Former David Bowie guitarist Mick Ronson had been a part of that sprawling crew, and when it came time for McGuinn to record his fourth album, Ronson signed on to produce and play guitar. McGuinn’s tenure in Dylan’s Rolling Thunder Revue brought about an unexpected but surprisingly effective musical relationship. The pair of live tracks appended the disc were recorded a year later and show that, while they were unable to settle in meaningfully in the studio, McGuinn and his cohorts continued to feel right at home onstage. Case in point is McGuinn’s “Born To Rock And Roll”, a notion that would’ve been better served by simply rock ‘n’ rolling without saying so. There is a continuity of sound, although it’s squandered on lackluster material, with the presence of a keyboard player adding little to McGuinn’s strengths, even dating it in much the same way that other artists fell prey to the dreaded ’80s drum sound a decade later.įinally, beware of any song that references the singer’s attachment to a musical genre. Perhaps trying to rekindle the fractious dynamism of the original Byrds, McGuinn set aside his own artistic inclinations in favor of democratic rule - in large part because of record company expectations, and perhaps his own muddled instincts. The third, 1975’s Roger McGuinn & Band, while inherently flawed, is a marked improvement over its predecessor, the unfortunately titled Peace On You.Īs its title suggests, the album is built around a cohesive band, a transplanted trio that had been working in Texas under the name Lone Star (they were augmented here by the bassist from Rick Nelson’s Stone Canyon Band). ![]() Roger McGuinn’s first two post-Byrds solo albums were reissued in early 2004. ![]() All the while, the permanent role of the victim is reserved for the Bosniaks.ĭodik advocates for the establishment of parallel institutions under the veil of the ‘original’ Dayton Agreement. The Serb member of the Presidency of Bosnia and Herzegovina and president of the Alliance of Independent Social Democrats, Milorad Dodik, advocates for, what he calls, the original Dayton agreement Dragan Covic, president of the Croatian Democratic Union, insists on the election law. The relationship towards the agreement is different for each faction. Dayton spawned a political system that is among the most complex in the world.īosnia’s electoral system needs reforming to address several European Court of Human Rights judgements, in particular a ruling that all citizens should be eligible to run for the presidency.įrom then until today, some major reforms have taken place, mostly on initiative and pressure from outside, creating new institutions at the federal level to have a more functional state. The Dayton Accords preserved Bosnia as a single state made up of two parts, the Bosniak-Croat Federation and the Bosnian Serb Republic, with Sarajevo remaining as the undivided capital city. In the case of Bosnia and Herzegovina, this is the original Dayton agreement. In the same spirit, unrealistic economic promises and, of course, their non-fulfilment, is easiest to ‘sell’ if they are accompanied by a strong ideological narrative. ![]() Their rhetoric runs along the lines of ‘we are successful, everyone envies us, and the great powers want our wealth and intelligence’, the guiding principle of almost every Balkan leader’s political repertoire. Their goal is to manufacture consent for an undisputed acceptance of the leader and his followers, who challenge the legitimacy of others often on religious, ethnic, cultural, or socio-economic grounds. Their tactics include a war against unsuitable media (those that give space to critics), ongoing efforts to control civil society, a siege of state institutions by loyal followers, and the ‘excommunication’ of critics. In the case of BiH, the government follows in the footsteps of ‘democratic’ countries such as Poland, Hungary and Turkey, by reducing the independence of parliamentarians and shifting the power over institutions to the top and into the hands of party leaders: Bakir Izetbegović, Chairman of the Party of Democratic Action (Bosniac party), Milorad Dodik, Chairmain of Alliance of Independent Social Democrats (Serb party), and Dragan Čović, Chairman of Croatian Democratic Union. It is generally associated with neo-patrimonial states, where a framework of formal law and administration exists, but the state is informally trapped by patronage networks. The distribution of public booty takes precedence over the formal functions of the state, severely limiting the ability of public servants to make policies of general interest. In political science, this term refers to the corrupt, autocratic, and often totalitarian rule of states by one person. The design of the institutions of all Balkan countries is the product of individuals, not large groups, which reflects the syndrome of the so-called ‘bigmanism’. After all, when irresponsible political leaders become increasingly autocratic, the average voter feels completely powerless. Their victories are half-hearted, as half of the voters do not want to go to the polls because they do not see a difference in the political offering. The best ‘campaign’ these elites can run is to fuel conflicts and encourage intolerance. For them, it is politically most profitable to talk about war and to manufacture crises to distract from the lack of results in economic development. How did it come to this? It has a lot to do with the BiH’s ruling elite. The best ‘campaign’ the local elites can run is to fuel conflicts and encourage intolerance. In the worst scenario, this could lead to its dissolution. This, together with other factors, has led BiH to be on the brink of a complete collapse of its political system after three years of gridlock. The recent threats emerging from the Serb member of the Presidency, Milorad Dodik, contribute to BiH’s status as a powder keg, since they risk to upend the delicate balance achieved in the region after the war. The holiday had previously been declared unconstitutional by the country’s highest court. This weekend, Serb politicians were seen lighting matches on 9 January, which marks 30 years since Bosnian Serbs declared their own state in Bosnia in 1992. ![]() This year started – yet again – with the Balkans, and Bosnia and Herzegovina (BiH) in particular, proving its image as a powder keg about to explode, or, to quote the New York Times, as a ‘tinderbox’. ![]() ![]() I’ll definitely be snagging at least a few for myself. From cut out, halter neck or classic one piece swimsuits, make a splash with our great selection at ASOS. From pretty floral prints and stripes to solid neutrals, find a one piece swimsuit that you will love Browse through a large collection of one piece. Brianna (targetxbri) on Instagram: 'What better time to share more cute one-piece swimsuits than now bc women’s swim is 30 OFF THI. I love the classic look of a one-piece, plus love the security they provide, so here’s a roundup of my favs. Discover swimming costumes for women at ASOS. Floral One piece Swimsuit White Daisy Swimsuit Cute Retro Style Bathing Suit Classic Low Cut Swimsuit Luxury Designer Swimwear. Find one-piece swimwear featuring cutouts, high-cut, plunging halter necklines, and more of your favorite styles at SHEIN. Our selection includes monokinis, dresses, high necks and much more at amazing. You remember how the saying goes – the early bird gets the worm, or in this case, the cutest swimsuit. In need of new swimwear Find brand-name one piece swimsuits at T.J.Maxx. Spring is also a great time to start building your swimsuit collection because they are more of a seasonal piece, so they tend to get a bit picked-over. The black suit hanging in my closet has been a staple of mine for a couple years now (highly recommend snagging yourself a classic black piece) and it’s reminding me that yes, yes there are warmer days ahead (especially with our upcoming move?). Who knows what this summer will bring, but I do plan to have at least a few moment in the sun, and I’m on the hunt for some cute one-piece swimsuits to accompany me. Around this time of year, I’m imagining myself on a beach with some cute sunnies and flip-flops, enjoying the sunshine and warmth. ![]() This makes it possible to reach the highest rank for all three Grand Companies.Īlso, any squadron members you’ve recruited will move to the new Grand Company with you. Raubahns speech, when deciding which Grand Company to join, really resonated with me, which the. Ranks will not transfer over to the new Grand Company, but your progress with the old one will remain. Ffxiv Maelstrom Ranks Chief Sergean Second Lieutenant. The first time you transfer will be free, but after that it will cost you 50,000 gil each time. Limsa Lominsa Upper Decks (X:13.1, Y:12.7)Īfter switching to a new Grand Company, you’ll need to wait 15 days before you are able to change again. To do this, visit the headquarters of the Grand Company you wish to transfer to and speak with their Personnel Officer.Įach Personnel Officer can be found at the following locations: Grand Company Serpent Personnel Officer – New Gridania (X: 9.8, Y: 11.When you reach the rank of Second Lieutenant with your current Grand Company, you have to option to transfer to either of the other factions. To unlock Adventurer Squadrons, players must obtain Second Lieutenant rank with their Grand Company.Flame Personnel Officer – Ul’dah – Steps of Nald (X: 8.3, Y: 9.0).Storm Personnel Officer – Limsa Lominsa Upper Decks (X: 13.1, Y: 12.7).Maelstrom uniforms are distinguished by their deep red hue. Adventurers may join the Foreign Levy, under High Storm Commander Rashaht Rhiki. The Personnel Officers are in each Grand Company Headquarters within each city. The Maelstrom is led by Admiral Merlwyb Bloefhiswyn and Grand Storm Marshal Eynzahr Slafyrsyn. When you have the prerequisite for the rank finished, go talk to your Grand Company’s Personnel Officer and select “Apply for a promotion”. Captain (90,000 Max Seals): Complete 5 Command Missions, then complete “Flagged Mission: Sapper Strike”.First Lieutenant (80,000 Max Seals): Complete “Flagged Mission: Crystal Recovery” from Adventurer Squadrons.Second Lieutenant (50,000 Max Seals): 9,000 Seals, Complete Grand Company Hunting Log Rank 2 and “Gilding the Bilious” quest.Chief Sergeant (45,000 Max Seals): 8,000 Seals, Complete “Shadows Uncast” quest.It seems like from Heavensward onwards, grand company is a non factor. The Captain rank was added in 4.4, in September 2018 and they added a couple more dungeons to squadrons in 4.5, but that's about it. Since then just the lootboxes in 6.0 I think. Sergeant First Class (40,000 Max Seals): 7,000 Seals They added captain rank in Stormblood iirc.Sergeant Second Class (35,000 Max Seals): 6,000 Seals Grand Company Standings FINAL FANTASY XIV, The Lodestone Standings Weekly Grand Company Standings Standings Standings based on total seals earned for each character's Grand Company of allegiance.Sergeant Third Class (30,000 Max Seals): 5,000 Seals, Complete Grand Company Hunting Log Rank 1.Grand Companies are divided into numerous ranks, with players starting at the lowest rank of Private Third Class. There are three grand companies, The Maelstrom from Limsa Lominsa, The Immortal Flames from Ul’dah, and The Order of the Twin Adder from Gridania. Corporal (25,000 Max Seals): 4,000 Seals Review the Squadron's Mission Report 3.5.1 Item Rewards 4 Squadron Ranks and Stats 5 Squadron Chemistry 6 Recruit Levels 7 Command Missions 8 Squadron Missions 8.1 Trainee Missions 8. Grand Companies are organizations that players will join at around level 20 by completing the main story quests.Private First Class (20,000 Max Seals): 3,000 Seals.Private Second Class (15,000 Max Seals): 2,000 Seals.Private Third Class (10,000 Max Seals): Starting rank Benefits to maxing out Grand Company's I've noticed that most of the rewards so far have been a little underwhelming for ranking up in the Maelstrom, primarily just being decent items to level other classes with.Here’s all the ranks and what’s needed to unlock them. ![]() Promotion requires you to pay a certain amount of Seals, and at higher ranks, you’ll have to complete certain quests. When you cap out on Seals, any additional Seals you gain simply disappear, so you want to be spending them or working toward increasing your cap by getting promoted. Effectively, this means you can only hold a maximum total of 10,000 Company Seals. When you first join a Grand Company, you’ll be at the rank of Private Third Class. How Do I Get Promoted in My Grand Company? If you want to know more about this system, take a look at our Grand Companies and Company Seals guide. This guide will help you learn what promotion entails. To really make that happen and maximize your potential, however, you need to get promotions. The Grand Companies are one way for you to really supercharge your personal income in Final Fantasy XIV, in addition to some other benefits. ![]() Separate from that partnership, the Zappas have also granted filmmaker Alex Winter permission to make a documentary about the main Mother’s life, which is slated to come out in 2017. As previously announced, Roxy: The Movie comes as part of a new partnership between the Zappa Estate and Universal Music Enterprises, which aims to keep Zappa’s music in the public eye. The film gives writing, directing, conducting, performing and producing credits to Frank Zappa, while Ahmet, Frank’s widow Gail and The Kids Are Alright director Jeff Stein get credit for the film’s current release. This movie rocks so hard, I think both old and new fans will agree.” So much love, time, energy and attention to detail went into its resurrection. “It took a herculean effort to bring it to life. “I’m beyond thrilled that Roxy: The Movie is finally going to be available,” Zappa’s son Ahmet said in a statement. Over the years, the Zappa estate has released film clips and snippets from the performances, but never a feature-length film. Some of the material appeared on Zappa’s 1974 release Roxy & Elsewhere, while other tracks eventually came out on the first and third volumes of his You Can’t Do That on Stage Anymore series. The concerts took place in December 1973 with the Mothers lineup featuring George Duke on keyboards and Ruth Underwood on percussion. The movie is set to come out on DVD and Blu-ray on October 30th. A trailer for the film shows the mustachioed bandleader coaxing polyrhythms, paradiddles and plenty of puns, as he shreds furiously on his guitar. This movie rocks so hard, I think both old and new fans will agree.More than four decades after Frank Zappa and the Mothers filmed their three-night residency at Hollywood’s 500-person-capacity Roxy Theatre, Roxy: The Movie will finally be released. 'roxy by proxy' are titles which were recorded on different days of 'roxy and elsewhere '. if i do understand well : 'roxy and elsewhere ' is some best of/compilation with edits made by zappa of the dates at the roxy. Some of the material appeared on Zappa’s 1974 release Roxy & Elsewhere, while other tracks eventually came out on the first and third volumes of his You Can’t Do That on Stage Anymore series. coolsound Forum Resident just received mine. Roxy and Elsewhere Import Frank Zappa Frank Zappa & the Mothers Format: Audio CD 76 ratings £2799 See all 12 formats and editions Audio CD £27.99 7 Used from £5.75 1 New from £27.99 Vinyl £101.46 1 Used from £101.46 1 Collectible from £67. More than four decades after Frank Zappa and the Mothers filmed their three-night residency at Hollywood’s 500-person-capacity Roxy Theatre, Roxy: The Movie will finally be released. ![]() Younger patients are more susceptible to high-energy trauma-related injuries, while elderly sustain bone density-related injuries. This finding is not uncommon among spinal fractures. The most common C2 fracture-the odontoid fracture-has a biphasic age distribution with peaks both at 20–30 and at 70–80 years of age. Knowledge of these proportions facilitates future epidemiological studies of C2 fractures.įractures of the second cervical vertebra (C2) are the most common cervical spinal injury among elderly. This study presents reliable subset proportions of C2 fractures in a prospectively collected regional cohort. 40% of C2 fractures were treated surgically. There was an increasing incidence of odontoid fractures types 2 and 3 from 2002 to 2014. In the geriatric subgroup 89% of all C2 fractures were odontoid, of which 71% were type 2 and 29% type 3. Odontoid fractures were found in 183 patients, of which 2 were type 1, 127 type 2, and 54 type 3, while 26 of C2 fractures were Hangman's fractures and 24 were atypical C2 fractures. 233 patients (female 51%, age 72 ± 19 years) were treated for a C2 fracture. C2 fractures were classified into odontoid fractures types 1, 2, and 3, Hangman's fractures types 1, 2, and 3, and atypical C2 fractures. A dataset of all patients treated between 20 for C2 fractures was extracted from the regional hospital information system. This study was designed to identify the proportions of the second cervical vertebra (C2) fracture subtypes and to present age and gender specific incidences of subgroups. doi:10.The currently available data on the distribution of C2 fracture subtypes is sparse. AOSpine-Spine Trauma Classification System: The Value of Modifiers: A Narrative Review With Commentary on Evolving Descriptive Principles. Occipitocervical Dissociation-Incidence, Evaluation, and Treatment. Atlanto-Occipital Dislocation-Part 2: The Clinical Use of (Occipital) Condyle-C1 Interval, Comparison with Other Diagnostic Methods, and the Manifestation, Management, and Outcome of Atlanto-Occipital Dislocation in Children. Imaging of Atlanto-Occipital and Atlantoaxial Traumatic Injuries: What the Radiologist Needs to Know. Riascos R, Bonfante E, Cotes C, Guirguis M, Hakimelahi R, West C. Reassessment of the Craniocervical Junction: Normal Values on CT. Rojas C, Bertozzi J, Martinez C, Whitlow J. Rheumatoid arthritis: CT/MRI will show atlantooccipital instability due to pannus destabilisation of joints and ligaments, and x-ray will show erosions Odontoid fracture: type 2 will cause posterior dens displacement and will disrupt Powers ratioĪtlanto-axial subluxation: atlantoaxial rotatory fixation will cause C1 lateral mass asymmetry relative to the densĭown syndrome: atlanto-occipital instability due to laxity of the alar ligament Jefferson fracture: anterior and posterior C1 ring fracture, possible lateral masses displacement Powers ratio >1 (insensitive to a vertical distraction injury or posterior dissociation)įor pediatric patients, the condyle-C1 interval (CCI) has been shown to provide the highest diagnostic accuracy 4.Ĭondyle-C1 interval (CCI) >4 mm in children The key to the diagnosis, in addition to identifying gross disruption of the normal alignment of the atlanto-occipital joint, hinges on using a number of lines on the lateral horizontal shoot-through cervical spine film 1:īasion-dens interval (BDI) >10 mm in adults 3īasion-axial interval (BAI) >12 mm in adults The AO Spine classification of upper cervical injuries is another classification system split into location-specific patterns and then further subdivided according to injury type and presence of neurological signs and/or modifying factors. The Traynelis classification describes injuries according to the displacement of the occipital condyles relative to the atlas. The tectorial membrane and alar ligaments provide most of the stability to the atlanto-occipital joint, and injury to these ligaments results in instability due to low inherent osseous stability 3. |
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