The anterior cervical plate includes multiple pairs of holes passing therethrough including at least a pair of caudal holes and a pair of cephalad holes. The caudal holes pass through the anterior cervical plate at a fixed angle extending both in a caudal direction and toward a midline of the anterior cervical plate. The cephalad holes are configured to allow fastening screws to pass at differing angles through the cephalad holes. Windows are provided passing through the plate at locations between the pairs of caudal and cephalad holes. Locking plates are provided which pivotably attach to the plate in positions either covering or exposing the pairs of holes, to assist in keeping fastening screws securely attached to the anterior cervical plate.
