A bone plating system is provided that permits maintenance of a
compression force while also accommodating bony subsidence, among other
features. Methods of implantation are also provided that improve
alignment and placement during implantation and avoid maneuvers that
weaken the vertebral bodies. A modular distraction screw is placed during
the initial stages of surgery when all relevant landmarks are still
intact. After completion of the surgical bone work, a proximal end of the
distraction screw is detached, leaving a protruding distal segment
implanted in the centerline of the vertebral bodies above and below the
newly fused disc space. A bone plate is guided into proper position
relative to the upper and lower vertebra by attaching the bone plate to
the protruding distal segments. The distal segments of the distraction
screws are tightened onto the plate and the plate is held stationary
while bone screws are placed. The bone plating system is also extendable,
allowing additional bone plates to be placed and coupled with existing
plate components to create a multi-level plating system. Additional bone
plates may be placed contemporaneously or during a subsequent surgical
procedure.