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lumbar spine X-ray interpretation degenerative disc disease spondylosis findings

Lumbar Spine X-Ray Findings — Iqbal Mir (May 16, 2026)

Views: AP (anteroposterior) and Lateral of the lumbar spine

Key Findings

1. Reduced Disc Space Heights (Disc Degeneration) On the lateral view, the intervertebral disc spaces — particularly at the lower lumbar levels (L4-L5 and L5-S1) — appear narrowed, indicating loss of disc height consistent with degenerative disc disease.
2. Osteophytes (Bone Spurs) There are bony projections (osteophytes) visible at the margins of the vertebral bodies, especially in the lower lumbar region. This is a hallmark of lumbar spondylosis — age-related wear and tear of the spine.
3. Vertebral Endplate Sclerosis / Irregularity The vertebral endplates adjacent to the narrowed discs show increased density (sclerosis), another sign of chronic degenerative change.
4. Loss of Lumbar Lordosis The lateral view suggests straightening of the normal lumbar curve, which can occur due to muscle spasm or chronic degenerative disease.
5. Facet Joint Changes The AP view shows changes in the facet (zygapophyseal) joints suggestive of facet arthropathy, a common accompaniment to disc degeneration.

Overall Impression

Lumbar Spondylosis with Degenerative Disc Disease, most pronounced at the lower lumbar levels (L4-L5, L5-S1). These changes are consistent with chronic age-related degeneration and are a common cause of lower back pain, stiffness, and possible leg symptoms (if nerve compression is present).

⚠️ Important Notes

  • X-ray has limitations — it does not show the spinal cord, nerve roots, or disc material directly. If there are symptoms like leg pain, numbness, or weakness, an MRI of the lumbar spine is strongly recommended for a full assessment.
  • This interpretation is based on visual review of the X-ray image and is not a substitute for a formal radiologist report. Please consult your doctor or spine specialist for clinical correlation and management.
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