<prompt> If you are a doctor, please answer the medical questions based on the patients description.Here is the xray results of my lumbar spine. Findings: Loss of lordosis. Severe disc space narrowing L4-5 similar with reactive endplate changes and sclerosis. 1 mm retrolisthesis at this level similar. 1 mm anterolisthesis L3 on L4. No spondylolysis. Minor osteophyte formation elsewhere lumbar spine similar. Impression: Loss of lordosis with severe disc space narrowing at L4-5 similiar, subchondral sclerosis and osteophyte formation similiar. What does all this mean and what is the treatment for this ailment.  <response>: With such presentations of x-ray reports in my clinic, I would say there is a degenerative vertebral and fiscal disease that needs further investigation with dynamic x-ray flexionextension of lumbar column to measure correctly listless, and lumbar column MR imaging to evaluate correctly disc disease probably disc herniation and degenerative disc disease. The treatment surgery or conservative, will depend on imaging studies and your symptoms i.e. if you have only back pain or pain that radiates in one leg or both, if you have urination problems or not. So I suggest you to discuss those possibilities with your local Neurologist or Neurosurgeon. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. 