@leeosteo with scores like that I would think a bone-builder like Tymlos or Forteo, or possibly Evenity, would be the med for you. I did Tymlos since the dose is adjustable and I can follow it with Evenity if needed, but not the other way around, according to my doc.

I have the same scores as you for those lower lumbar scores and I fractured three out of 5 with a simple twisty movement.