Background. Several graft materials, ranging from autografts to allografts, can be used for anterior cervical corpectomy and fusion (ACCF). Typically, a second implant—a titanium cervical plate—is employed to reduce the risk of graft extrusion and enhance fusion rates. This report introduces two-level ACCF procedures using iliac bone grafts for vertebral body reconstruction without the use of a cervical plate. Case report. The first case involved a 60-year-old male who presented with non-radiating neck pain, weakness in all extremities, hypesthesia below C6, and autonomic dysfunction. Magnetic resonance imaging (MRI) revealed compression fractures at C5 and C6, cervical disc herniation, and ossification of the posterior longitudinal ligament (OPLL) at C3–C7. The patient underwent ACCF. The second case involved a 55-year-old male who presented with radiating pain from C4–C5 but no hypesthesia or motor weakness. Cervical MRI revealed herniated nucleus pulposus (HNP) at C4–5 and C5–6. He underwent C5 corpectomy with iliac autograft without a cervical plate. At three months post-surgery, follow-up radiography showed improved cervical lordosis and no pain, indicating successful bone formation. Although radiological alignment did not improve, clinical outcomes were favorable. During short-term follow-up, the graft remained stable with no evidence of subsidence, despite the absence of cervical plating. Conclusions. Stand-alone iliac autografts for anterior vertebral corpectomy demonstrate clinical benefits, even without improvement in radiological alignment. © 2025, Amaltea Medical Publishing House. All rights reserved.