posteriorly, if the latter cut was not made before its removal from
the body. If it is desired to make sections of both cord and dura for
microscopic study the dura may be left uncut or attached to the cord
after it has been opened in the median line. It then helps to hold
the pieces of cord together after the latter has been cut. Otherwise
the dura may be removed from the cord by cutting the nerve-roots
and denticulate ligaments on both sides. The cord is now examined by
making transverse cuts through it with a clean knife which is dipped
into clean water before each cut. The cord is allowed to hang over
the index-finger of the left hand while the knife is drawn across
it, severing it down to the underlying pin which is left uncut to
hold the pieces together. The cuts are usually begun in the cervical
region and are made at the level of the spinal nerves. When the dura
is left attached to the cord it may be laid back and the cord cut
within it, or if it has not been opened, the cuts may be made through
it and the cord at the same time, if a very sharp knife is used.
Areas of softening should not be cut, but should be preserved intact
for examination after fixation and hardening. If the segments of cord
are left attached to the dura or pin the cord and membranes may be
fixed and hardened _en masse_ so as to permit future orientation.
=Examination of Cord Anteriorly.= After the complete examination
of the neck, thoracic and abdominal organs the spinal column is
divested of all remaining tissues, including the psoas muscles. A
block is then placed beneath the lumbar vertebræ. With the belly of
the cartilage-knife held transversely across the spinal axis the
intervertebral disks on both sides of the next-to-the-last lumbar
vertebra are cut down to the level of the canal. If the lumbar
vertebræ are sufficiently elevated by the block placed beneath the
abdomen, the cutting of the disks allows the neighboring vertebræ
to spring away, so that the body of the vertebra thus separated
can be cut out by the bone-forceps or chisel. The spinal canal is
thereby exposed; so that the Brunetti chisels may now be used in
cutting the pedicles and stripping off the vertebral bodies. As
this stripping progresses upward the block is moved toward the head
so that the cutting is always down hill. The chisels are driven
through the pedicles of five or six vertebræ at a time; the handle
is forced down until the long chisel-blade is nearly parallel with
the vertebræ. At the same time the cutting-edge must be sent forward
at a uniform level, just high enough to expose the canal. If the cut
is too high the chisel will enter the body of the vertebra, if too
low the probe-point will be pushed into the cord. When the cervical
vertebræ are being cut the head of the cadaver must be steadied
by an assistant. As the sections of vertebræ are loosened the
intervertebral disks are cut with the cartilage-knife and the pieces
of bone pulled away with the bone-nippers.
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