A manual of operative surgery . PS. FIG. 303.—TRANSVERSE SECTION THROUGH THE CARTILAGE (C. Ill) BETWEEN THETHIRD AND FOURTH LUMBAR VERTEBRA. C. Eq., Cauda equina; f., Fat behind the Cauda equina; , Lumbosacral cord;PS., Psoas muscle ; s. iv., Spine of fourth lumbar vertebra. 1909) a series of cases of successful laminectomy for chronic spinalmeningitis, in most of which the presence of a tumour had beendiagnosed but was not found. On this subject see also an im-portant paper by Prof. Krause (Verhandl. der dents. Gesell. f. , p. 598). 2 98 OPERATIONS ON THE SPINE rPARTlII Th
A manual of operative surgery . PS. FIG. 303.—TRANSVERSE SECTION THROUGH THE CARTILAGE (C. Ill) BETWEEN THETHIRD AND FOURTH LUMBAR VERTEBRA. C. Eq., Cauda equina; f., Fat behind the Cauda equina; , Lumbosacral cord;PS., Psoas muscle ; s. iv., Spine of fourth lumbar vertebra. 1909) a series of cases of successful laminectomy for chronic spinalmeningitis, in most of which the presence of a tumour had beendiagnosed but was not found. On this subject see also an im-portant paper by Prof. Krause (Verhandl. der dents. Gesell. f. , p. 598). 2 98 OPERATIONS ON THE SPINE rPARTlII The surgeon interested in this branch of operative surgery shouldconsult Thorburns valuable work on The Surgery of the SpinalCord. Mr. Thorburn deals especially with the operative treatmentof traumatic paraplegia, and he points out in how very few cases V. A. R VVI FIG. 304.—SECTION THROUGH THE SIXTH CERVICAL VERTEBRA TO SHOW THERELATION OF THE CORD TO THE DURAL SHEATH, ETC. , Section of posterior laminae required in laminectomy ; , Vertebral arteryand vein ; , Root of brachial plexus. laminectomy can be expected to improve the patients prospects ofrecovery. Monographs by Schlesinger (1898) and Oppenheim (1907) inGerman on Tumours of the Spinal Cord, etc., and by Spiller andMartin {Pennyslvania Med. Bull.) on Spinal Meningitis, should bementioned here. Instruments Required.—Stout and fine scalpels ; trephine;bone-cutting forceps of several shapes ; rugine ; elevator;necrosis forceps ; chisel and mallet ; retractors ; blunt hooks ;probe ; Volkmanns spoons ; fine tenaculum-pointed forceps ;fine scissors ; small curved needles and needle-holder; straightneedles ; ligatures ; sutures, etc. Sir V. Horsley has devised a CHAP. XVll LAMINECTOMY 299 special form of angular cutting forceps for dividing the guarded saw is
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