Review Question - QID 1688

A 65-year-old female presents for evaluation of a 1-year history of neck pain. She has a history of C6-C7 anterior cervical discectomy and fusion (ACDF) performed 12 years ago and was doing well until last year. She describes her pain as a dull ache which is made worse by flexion and rotation of her cervical spine without radiation to the arms. Her current imaging is shown in Figure A. Her flexion and extension imaging does not show any listhesis and her MRI studies reveal mild cervical stenosis at C4-C5 and C5-C6 without evidence of cord compression. Her neurologic examination is normal and she has a normal gait with no difficulties with fine motor activities. Which of the following is the next best step in management?