2003 Volume 9 Issue 1 Pages 156-162
Ninety-one patients with lumbar spinal stenosis (LSS) were evaluated for clinical signs and conservative treatment results. Conservative treatment program is as follows: orally active prostaglandin E1 derivative (Limaprost Alfadex) is administered first. When symptoms do not improve at all, other conservative treatments such as an intravenous drip of prostaglandin E1, nerve root block, epidural steroid and steroid injection into facets are added. Seventy-three patients were treated by only Limaprost Alfadex and 18 patients needed additional conservative treatment. Fifty-four patients who were treated by only Limaprost Alfadex and 10 patients treated by Limaprost Alfadex with additional conservative treatment showed significant improvement in their symptoms. After all, 64 out of 91 patients (70%) who were treated by this conservative treatment program showed significant improvement in capacity to walk and their symptoms. The author conculude Limaprost Alfadex is the first choice in the treatment of LSS.