what are my options at 43 years old

Here is the Summary notes on the 10 page MRI report
IMPRESSIONS:
Cervical region:

My MRI says Cervical C2-3, C3-4 and C4-5 show moderate loss of disk height, and C5-6 demonstrates left disk protrusion and annular tear measuring 9 mm CC x 8 mm transverse x 4mm AP flattening the anterior surface of the cord worse on left side. Also there is mild broad based disc bulge with moderate/severe bilateral neural formidable stenosis , worse on left side. C 6-7 and C7-T1 demonstrate moderate loss of disk height. Impression  "LEFT PARENTERAL DISC PROTRUSION AND ANNULAR TEAR AT C5-6 . 9 X 8 X 4 MM Flattening the anterior surface foe the cord , worse on the left side. there is bilateral neural formation stenosis which is severe on the right side and moderate on the left.

THORACIC REGION:
Impression : T9-T10 KYPHONIC CURVATURE WITH DEGENERATIVE CHANGES SEEN THROGHOUT THE THORACIC SPINE

Small RIGHT SIDED DISK PROTRUSION AT T1-T2 MILDLY FLATTING OF THE ANTERIOR SURFACE OF THE CORD

THERE IS A MILD AP CANAL STENOSIS AT T4-T5 FROM POSTERIOR OSTEOPHYTE

MILD FLATTENING OF THE ANTERIOR  SURFACE OF THE CORD AT THE T6-T7 AND T7-T8 LEVEL FROM KYPHOTIC CURVATURE OF THE SPINE

RIGHT SIDED DISC OSTEOPHYTE PROTRUSION AT T8-T9 FLATTENING OF THE ANTERIOR SURFACE OF THE CORD

CENTRAL DISC PROTRUSION T9-T10, 7.0 X 7 MM, FLATTENING OF THE ANTERIOR SURFACE OF THE CORD

CENTRAL DISC PROTRUSION T9-T10 7.0 X 7.0 MM,  FLATTENING OF THE ANTERIOR SURFACE OF THE CORD AT THIS LEVEL

LUMBAR :
MINIMAL ANNULAR TEAR BULGE AND TEAR AT L1-L2

CENTRAL DISC PROTRUSION AND ANNULAR TEAR AT L4-L5WHICH IS FAIRLY BROAD BASED AND THERE IS MILD BILATERAL NEURAL FORMATION STENOSIS