Hello! Welcome on HCM! These MRI findings are indicative of chronic degenerations of the vertebral column, related to the wrong posture and osteoporosis. There is no need of surgery. I would just recommend holding a cervical collar for short periods of time in case of neck pain. It is important to perform physiotherapy and physical exercise to reinforce the back muscles. Correcting the posture is also needed. I would advise consulting with a rheumatologist and taking supplements against osteoporosis, in order to stop the progression of this disorder. Hope you will find this answer helpful! Kind regards, Dr. Aida