Acta Med. 2018, 61: 69-73

Topping Phenomenon with Recurrent Spinal Stenosis and Epidural Fibrosis Prevented with Oxidized Cellulose – a Case Report

Radek Hart

Department of Orthopaedics and Traumatology, General Hospital Znojmo, Czech Republic

Received March 3, 2018
Accepted June 17, 2018


1. Hart R, et al. Degenerativní onemocnění páteře. Praha: Galén, 2014.
2. Delank KS, Fürderer S, Eysel P. Die lumbale Spinalkanalstenose. Z Orthop 2004; 142: 19–35. <>
3. Schulte TL, Bullmann V, Lerner T, et al. Lumbale Spinalkanalstenose. Orthopäde 2006; 35: 675-94. <>
4. Yuan PS, Albert TJ. Nonsurgical and surgical management of lumbar spinal stenosis. J Bone Joint Surg Am 2004; 86: 2320–30. <>
5. Hansraj KK, Cammisa FP, O’Leary PF. Decompressive surgery for typical lumbar spinal stenosis. Clin Orthop 2001; 384: 10–17. <>
6. Barz T, Melloh M, Staub LP et al. Nerve root sedimentation sign. Evaluation of a new radiological sign in lumbar spinal stenosis. Spine 2010; 35: 892–7. <>
7. Schizas C, Theumann N, Burn A, et al. Qualitative grading of severity of lumbar spinal stenosis based on the morphology of the dural sac on magnetic resonance images. Spine 2010; 35: 1919–24. <>
8. Kim SB, Lim YJ. Delayed detected unexpected complication of Adcon-L Gel in lumbar surgery. J Korean Neurosurg Soc 2010; 48: 268–71. <> <PubMed>
9. Temel SG, Ozturk C, Temiz A, et al. A new material for prevention of epidural fibrosis after laminectomy: oxidized regenerated cellulose (interceed), an absorbable barrier. J Spinal Disord Tech 2006; 19: 270–5. <>
10. Rodgers KE, Robertson JT, Espinosa T, et al. Reduction of epidural fibrosis in lumbar surgery with Oxiplex adhesion barriers of carboxymethylcellulose and polyethylene oxide. Spine J 2003; 3: 277–83. <>
11. Altun I. An experimental study of histopathologic effects of hemo static agents used in spinal surgery. World Neurosurg 2016; 90: 147–53. <>
12. Karasu H, Güzel I. Comparison TachoComb with SurgiWrap, Surgicel and Lyodura in epidural fibrosis: an experimental rat model. Ideggyogy Sz 2016; 30: 195–200.
front cover

ISSN 1211-4286 (Print) ISSN 1805-9694 (Online)

Open access journal