bone-nippers in one piece, either toward the head or sacrum as is the
more convenient.
The laminæ may be cut by a chisel instead of a saw. The
straight-edged or curved single chisel, the “tomahawk” chisel, or
the double-bladed chisel of _Esquirol_ may be employed. The latter
instrument has adjustable chisel-blades that can be set to include
the spinous processes. These blades are very strong and short, and
have convex cutting edges. The use of a wooden mallet (Fig. 17) is to
be preferred to that of the steel hammer in driving chisels of any
type. The straight, curved and tomahawk chisels are held with their
cutting edges directed slightly outwards. The _Amussat rhachiotome_
is a chisel-knife with a curved metallic handle, the cutting edge
running along the length of the chisel. When set at an angle of 45°
to the laminæ it is driven through them by means of blows from a
wooden mallet delivered upon the chisel-back over the cutting edge.
The _Brunetti chisels_ are shown in Fig. 15. In using these to open
the spinal cord posteriorly, a block should be placed beneath the
abdomen so as to raise the lumbar vertebræ above the level of the
dorsal. The intervertebral ligaments of the last lumbar vertebræ
are then cut through with the belly of the cartilage-knife held at
right angles to the spine. The laminæ and spinous process of the last
lumbar vertebra are then cut out with the straight-edged chisel or
bone-forceps, exposing the canal. The _right_ and _left_ Brunetti
chisels are then alternately used, beginning usually with the “left”
chisel, the blunt probe-point being introduced into the canal, while
firm pressure downward is made upon the handle, while at the same
time the cutting edge is driven through the outer borders of the
vertebral arches by blows from a wooden mallet delivered upon the
head of the handle. Great care must be taken to keep the cut at the
same level throughout. It is better, however, to cut too high rather
than too low. In the latter case the cord may be injured, while in
the former the bone may later be easily trimmed off sufficiently
without causing any damage. The arches of three to four or even more
vertebrae may be cut without removing the chisel. The same thing is
then done on the other side, using the “right” chisel. The loosened
portion of bone and ligaments is then cut or torn off with the
bone-forceps or nippers. The cut bone should not be touched with the
hands because of the danger of injury and subsequent infection from
the sharp spicules and splinters of bone. As the canal is opened the
block under the body is pushed towards the head, the object being
always to cut _down hill_ and not upward. When the cervical region is
reached the head of the cadaver should be firmly held by an assistant
so as to give sufficient resistance to the blows of the mallet. The
skilful use of the Brunetti chisels is difficult to acquire and a
great deal of practice is necessary, but when once the knack is
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