Background Context: There is little understanding of cervical plate misalignment as a risk factor for plate failure at the plate-screw-bone interface.
Purpose: To assess the torsional strength and mode of failure of cervical plates misaligned relative to the midsagittal vertical axis.
Study Design: Plastic and foam model spine segments were tested using static compression and torsion to assess effects of misaligned and various lengths anterior cervical plate (ACPs).