Study Design This randomized study will be conducted prospectively. The clinical and radiological outcomes of subjects undergoing anterior cervical corpectomy will be documented. There will be a total of 40 subjects enrolled, 20 in each arm - Actifuse with BMA versus autograft with DBM. It is anticipated that the study length will be 42 months this is based on a recruitment period of 18 months followed by a 24 month post-operative follow-up period for each patient included in the study. Subjects will be randomized 1:1 per arm. Randomization will be established at the study site by sealed envelopes accessed at the time of surgery. The sample size of 40 patients will allow statistical comparison between the 2 arms based on a postulated fusion rate of 85 %. Given that this is a single center study with recruitment over 18 months, the total of 40 subjects is a reasonable goal.