{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T10:13:32Z","timestamp":1779963212175,"version":"3.53.1"},"reference-count":11,"publisher":"Charles University in Prague, Karolinum Press","issue":"2","license":[{"start":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T00:00:00Z","timestamp":1536883200000},"content-version":"vor","delay-in-days":256,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T00:00:00Z","timestamp":1536883200000},"content-version":"tdm","delay-in-days":256,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["actamedica.lfhk.cuni.cz"],"crossmark-restriction":true},"short-container-title":["Acta Med. (Hradec Kralove, Czech Repub.)"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>Lumbar spinal stenosis is a condition where the neural structures are compressed in the narrowed spinal canal and often situated only within a single specific segment of the spine, most frequently in the lumbar spine. A case report demonstrates a surgical solution of lumbar spinal stenosis with using oxidized cellulose as a prevention of post-operative adhesions and failed back syndrome. A female patient (68) with a significant pain of the lumbar spine lasting for a number of months due to advanced spondylosis, failing to respond to conservative treatment underwent instrumented, posterolateral fusion of affected segments. The patient re-arrived with pain due to spinal stenosis in another segments after 4 and then after 3 years. We repeatedly performed spinal fusion of the affected segments and applied an antiadhesive gel to the dural sac and the decompressed nerve roots to prevent the development of post-operative adhesions and the \u201cfailed back syndrome\u201d. Last surgical solution included mobilisation of the simultaneously constricted dural sac through laminectomy. This time we covered the sac using a haemostat made of oxidized cellulose (Traumacel FAM). After this treatment, the patient was again without significant difficulties.<\/jats:p>","DOI":"10.14712\/18059694.2018.55","type":"journal-article","created":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T15:22:11Z","timestamp":1536938531000},"page":"69-73","update-policy":"https:\/\/doi.org\/10.14712\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Topping Phenomenon with Recurrent Spinal Stenosis and Epidural Fibrosis Prevented with Oxidized Cellulose \u2013 a Case Report"],"prefix":"10.14712","volume":"61","author":[{"given":"Radek","family":"Hart","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5727","published-online":{"date-parts":[[2018,9,14]]},"reference":[{"key":"18059694.2018.55_2","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1055\/s-2004-821323","volume":"142","author":"Delank","year":"2004","journal-title":"Z Orthop"},{"key":"18059694.2018.55_3","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1007\/s00132-006-0971-5","volume":"35","author":"Schulte","year":"2006","journal-title":"Orthop\u00e4de"},{"key":"18059694.2018.55_4","doi-asserted-by":"crossref","first-page":"2320","DOI":"10.2106\/00004623-200410000-00029","volume":"86","author":"Yuan","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"18059694.2018.55_5","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/00003086-200103000-00003","volume":"384","author":"Hansraj","year":"2001","journal-title":"Clin Orthop"},{"key":"18059694.2018.55_6","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1097\/BRS.0b013e3181c7cf4b","volume":"35","author":"Barz","year":"2010","journal-title":"Spine"},{"key":"18059694.2018.55_7","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1097\/BRS.0b013e3181d359bd","volume":"35","author":"Schizas","year":"2010","journal-title":"Spine"},{"key":"18059694.2018.55_8","doi-asserted-by":"crossref","first-page":"268","DOI":"10.3340\/jkns.2010.48.3.268","volume":"48","author":"Kim","year":"2010","journal-title":"J Korean Neurosurg Soc"},{"key":"18059694.2018.55_9","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/01.bsd.0000203946.11546.d9","volume":"19","author":"Temel","year":"2006","journal-title":"J Spinal Disord Tech"},{"key":"18059694.2018.55_10","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/S1529-9430(03)00035-4","volume":"3","author":"Rodgers","year":"2003","journal-title":"Spine J"},{"key":"18059694.2018.55_11","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.wneu.2016.02.052","volume":"90","author":"Altun","year":"2016","journal-title":"World Neurosurg"},{"key":"18059694.2018.55_12","first-page":"195","volume":"30","author":"Karasu","year":"2016","journal-title":"Ideggyogy Sz"}],"container-title":["Acta Medica (Hradec Kralove, Czech Republic)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/media\/pdf\/am_2018061020069.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/media\/pdf\/am_2018061020069.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T09:45:15Z","timestamp":1779961515000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/61\/2\/0069\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018]]}},"alternative-id":["am_2018061020069"],"URL":"https:\/\/doi.org\/10.14712\/18059694.2018.55","relation":{},"ISSN":["1211-4286","1805-9694"],"issn-type":[{"value":"1211-4286","type":"print"},{"value":"1805-9694","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}