The aim of this study is to analyse the differences in clinical and radiological outcome of anterior cervical discectomy and fusion for cervical degenerative disease, with and without the addition of an anterior cervical locking plate. The outcome of 54 cases operated between 2015 to 2017 were analysed, and divided into two groups. The main difference in technique between the two groups was the addition of an anterior cervical plate. The indications for surgery for both groups was identical. We made an attempt to study radiological fusion, clinical outcome between the nonplated and plated groups. Our main finding is that the addition of an anterior plate reduces the number of poor clinical outcomes. Anterior discectomy and fusion with plating In our series had a significantly higher fusion rate, and better axial neck pain outcome compared to the non-plating group, especialy when operating on three or more cervical levels.