====== Anterior cervical plating ====== ===== Practice guideline ===== 1 level ADCF: The addition of an anterior plate to an ACDF is recommended to reduce the pseudarthrosis rate and graft problems (Level D Class III) and to maintain lordosis (Level C Class II) but it does not improve clinical outcome alone (Level B-Class II) ((Matz PG, Ryken TC, Gro MW, Vresilovic EJ, Anderson PA, Heary RF, Holly LT, Kaiser MG, Mummaneni PV, Choudhri TF, Resnick DK. Techniques for anterior cervical decompression for radiculopathy. J Neurosurg: Spine. 2009; 11:183–197)). 2 level ADCF: Plating is recommended to improve arm pain. The plating does not improve other outcome parameters ((Matz PG, Ryken TC, Gro MW, Vresilovic EJ, Anderson PA, Heary RF, Holly LT, Kaiser MG, Mummaneni PV, Choudhri TF, Resnick DK. Techniques for anterior cervical decompression for radiculopathy. J Neurosurg: Spine. 2009; 11:183–197)).