Background: The orientation and morphology of the sacropelvic can lead to structural changes and disc herniation, resulting in low back pain. Objective: To analyze the relationship between spinopelvic parameters and the degree of lumbosacral intervertebral disc herniation. Methods: This research is a retrospective analytic observational study with a cross-sectional design. The study included 52 patients with low back pain who underwent lumbosacral radiography and MRI at Saiful Anwar General Hospital in 2022–2023. The degree of disc herniation was assessed on sagittal and axial lumbosacral MRI, and pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), lumbar lordosis (LL), lumbosacral angle (LSA), sacral table angle (STA), and sacral kyphosis (SK) were measured on lumbosacral radiographs. Statistical tests were conducted on four groups (normal, bulging, protrusion, and extrusion). Results: Lumbosacral disc herniation occurred most frequently in patients aged 51–60 years (30.76%), was more common in females (53.8%), and was most prevalent at levels L4–L5 and L5–S1. Using Spearman’s test, a correlation was found between lumbar lordosis angle and the degree of lumbosacral intervertebral disc herniation, with p=0.011 (p<0.05). One-way ANOVA showed a significant difference in lumbar lordosis across herniation grades, with p=0.028 (p<0.05). A smaller lumbar lordosis angle was associated with a higher risk of lumbosacral intervertebral disc herniation. Conclusion: Lumbar lordosis, as one of the spinopelvic parameters, may be considered a predictive factor for degenerative lumbosacral disc herniation.