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April 10, 2026Spine Surgery and Related Research0 citationsOpen Access

Navigating Pharmacotherapy for Lumbar Spinal Stenosis: A Narrative Review Spanning the Pathomechanisms of Ligamentum Flavum Hypertrophy to Polypharmacy in Older Adults

NFNobuyuki FujitaFujita Health UniversitySKSoya KawabataFujita Health UniversityTNTakuya NikaidoFukushima Medical University

Key Points

  • Examine pharmacotherapy methods for managing lumbar spinal stenosis and the challenges posed by polypharmacy in older adults.
  • Conducted a narrative review of current literature on lumbar spinal stenosis treatments.
  • Focused on pharmacological strategies and their implications for older adults.
  • Analyzed the relationship between ligamentum flavum hypertrophy and treatment outcomes.
  • Pharmacotherapy primarily addresses symptoms rather than the underlying causes of lumbar spinal stenosis.
  • Older adults frequently experience complications from polypharmacy, including adverse medication effects.
  • Conservative management remains essential for initial treatment in this demographic.

Abstract

Lumbar spinal stenosis (LSS) is a prevalent degenerative spinal disorder among older adults and represents the most common indication for spinal surgery in this population. Although surgical treatment is definitive for refractory cases, conservative management remains the cornerstone of initial treatment, with pharmacotherapy playing a central role. However, pharmacological strategies for LSS are largely symptomatic and are frequently complicated by polypharmacy and medication-related adverse events in older adults.

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Cite This Study

Fujita et al. (2026) studied this question.

synapsesocial.com/papers/69d894ec6c1944d70ce05e49https://doi.org/10.22603/ssrr.2026-0025
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