Can someone help me understand my CT CERVICAL SPINE WITHOUT CONTRAST I' am having exhaustion walking, weakness in my shoulders, arms, and pain. Should I have surgery?

TECHNIQUE:
Multidetector CT imaging of the cervical spine was performed without
intravenous contrast. Multiplanar CT image reconstructions were also
generated.

COMPARISON: None.

FINDINGS:
Alignment: Straightening and slight reversal of the upper cervical
lordosis centered at the C4 level. No evidence of traumatic
listhesis. No abnormally widened, perched or jumped facets. Normal
alignment of the craniocervical and atlantoaxial articulations.

Skull base and vertebrae: No visible skull base fracture. No
vertebral body fracture or height loss is seen. Some mild arthrosis
at the atlantodental interval. Additional multilevel spondylitic
changes detailed below.

Soft tissues and spinal canal: No pre or paravertebral fluid or
swelling. No visible canal hematoma.

Disc levels: Multilevel intervertebral disc height loss with
spondylitic endplate changes. Features are most pronounced C4-C6
with maximal disc height loss and small disc osteophyte complex
formations but without significant resulting canal stenosis.
Uncinate spurring and facet hypertrophic changes throughout the
cervical spine are also maximal at these levels with at most mild
resulting bilateral foraminal narrowing C4-C7.

Upper chest: No acute abnormality in the upper chest or imaged lung
apices.