Welcome to Neuro Talk. Sometimes this difference between physicians is very difficult to the patient. I would seek a third opinion, no question about it.
If the words in your MRI say SEVERE compression, that is an indicator that you do need surgery. Please do all other therapies before you go into surgery. A Neuro Surgeon would be my choice of that next opinion. I do think you have some issues that need to be dealt with. I am not a professional in any way, but I am fused C3-7. I know a bit about the language. Leesa is the best on the site for reading the results. I think I would have to go for another opinion and bring all the records and questions you have. I hope there can be a resolution that will work. ginnie