report shows multiple problems and it definitely seems you need to have surgery for it as ther is a risk of such pathologies causing you unbearable and untolerable symptoms even making your walking and standing difficult. (although i do not know what symptoms you have)
my advise would be get a second opinion
of an experienced neurosurgeon or spine surgeon
because correction of such pathologies depends on what and where is the surgeon going to operateand what all is the surgery going to compromise and what are the postoperative complications if any.
it is a complex surgery but at experienced hands it is a boon.
all the best.