Hello,
My recommendation would be to seek 2 additional opinions. Take all your films & reports and have each Dr weigh in. Prepare all your questions and make sure you clearly understand their responses & recommendations. PT and pain management are a way to assuage your problem, but are no remedy. In the interim you might come away with feeling more informed to make a better decision about what's possible and what would work best for you. I'm guessing you're working wth an ORTHO with a spine focus as well, a neurologist. Typically, your insurance provider will pay for 2 opinions. Good luck!