I have loss of disc height at every level of my cervical spine worst at c5 c6 at this level I also have a anterior thecal sac indentation with the canal measuring 1.1 cm also lordosis neural foraminal narrowing minimal subluxation osteophyte complex subchondral sclerosis stenosis and hypertrophic changes. My concern is with the thecal sac indentation is this 1.1 cm significant I have already went through a multi level lumbar fusion l1 to l5 for a very similar diagnoses I was blessed with a l6 and scoliosis and have been dealing with spine problems since my 20 s I m now 61 if surgery is required it will be my 6th one because a screw was place wrong during fusion. I have also had to dura leaks due to surgery requiring blood patches I also suffer with nerve bundling and nerve adhesion