<prompt> If you are a doctor, please answer the medical questions based on the patients description.i had an xray done i had a spinal fusion done in1982, with very little problems but now i am in worse pain then before, l1 apperanance of rudimentary ribs, anterior and posterior spurs l2-l5 disc space narrowing l3,l4,l5 and s1. sacralization l5 what does this mean?  <response>: Hello! Welcome on Chat Doctor ! Your symptoms are related to chronic degeneration of the cervical spine. I dont think that surgery would help in this situation. The best thing to do would be physiotherapy. I would also recommend trying duloxetine or Gabapentin for the pain. These Chat Doctor. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, 