Background: Cervical spondylosis is a disorder affecting the discs and vertebrae of the cervical spine due to age-related wear. The aim of this study is to compare the clinical and radiological outcomes of anterior cervical discectomy and fusion (ACDF) in two or more consecutive levels with cages only versus cages and plate, and to clarify the effect of adding a plate on cervical lordosis. Methods: A total of 50 adult patients with two or more consecutive levels of degenerated cervical discs were randomly allocated to two different procedures of ACDF. The patients were divided into two groups; group (A) included 25 patients who were operated by cages only and group (B) included 25 patients who were operated by cages and plate. Patients were followed up for six months postoperatively. Visual analogue scale (VAS) and neck disability index (NDI) were used to evaluate the clinical outcomes. Radiological outcomes included measurements of C2-7 cobb angle, segmental angle and segmental height in upright cervical spine radiographs. Results: The mean age of the patients in group A was 53.75±3.45 while in group B was 54.68±4.42. The mean operative time and blood loss were significantly higher in group B (p=0.00). There was no significant difference between the two groups regarding the mean hospital stay. The mean VAS and NDI scores have significant postoperative improvement in both groups. Complications were significantly higher in group B. The mean measurements of C2-7 cobb angle, segmental angle and segmental height significantly improved postoperatively with better results in group B. Conclusion: ACDF with cages only or with cages and plate for two or more consecutive levels has provided comparable improvement in clinical outcomes. However, ACDF with cages and plate has resulted in better radiological outcomes than with cages only with regard to improvement in cobb angle, segmental lordosis and segmental height. The complications were found to be higher in the plating group. The spine surgeon should take these findings into consideration when operating on patients with two or more consecutive levels undergoing ACDF.