An anterior cervical column support having a hollow frame having a top load bearing surface and a bottom load bearing surface may be inserted between a first spinal vertebra and a second spinal vertebra. The top load bearing surface and the bottom load bearing surface may each include an opening allowing access to the interior of the frame. A front surface may extend between the top load bearing surface and the bottom load bearing surface, and a rear surface may extend between the top load bearing surface and the bottom load bearing surface. Two side surfaces are attached between the front surface and the rear surface, each side surface having a solid side panel that is at least x-ray translucent. An anterior (front) plate is attached to the front surface of the support device, where the front plate includes clearance holes for receiving fasteners for holding the front plate in position. The top load bearing surface and the bottom load bearing surface may include a serrated or other high friction surface for applying frictional forces between the load bearing surfaces and adjacent vertebrae.