question: I have a 17yr old daughter with persistent lower backpain.  Her recent xrays say - There is loss of normal cervical lordosis, loss of normal thoracic kyphosis, lumbar scoliosis concave to the right, loss of normal lumbar lordosis.  There is a Grade 1 anterolisthesis of L5 on S1 with associated L5 pars defects & disc space narrowing at L5/S1.  The last statement is a condition that was diagnosed when she was 9yrs.  However the other comments were not on her previous xrays.  What are our treatment options?