As per the report, you have Cervical spondylosis with degenerative changes at multiple levels.
Decision of surgery depends on
1) Clinical examination
2) MRI imaging (not merely by report)
3) And your symptomatology corelating with MRI
NO detailed history regarding Pain in meck or pain radiating to your left arm/ weakness (as per your mri) was explained in your question.
Next Steps
Kindly contact me via Practo for further clarification, and i would guide you accordingly