All through one drill guide for cervical plating

An apparatus for guiding medical instruments used in attaching a cervical plate, the cervical plate having a receptacle, the apparatus comprising:

• a handle comprising a handle shaft;
• an alignment stand affixed to the handle shaft and configured to interface with the receptacle, the alignment stand including at least two alignment slots formed therein;
• and
• an instrument guide tube comprising a lumen therethrough and a rotational coupling operable to rotatably couple the instrument guide tube to the alignment stand, the rotational coupling comprising an alignment pin operable to seat in one of the at least two alignment slots to prevent the instrument guide tube from rotating about the alignment stand;
• wherein when a first end of the alignment stand is in communication with the receptacle in the cervical plate and the alignment pin is seated in one of the at least two alignment slots, the instrument guide tube is positioned over a bone screw receiving hole in the cervical plate and an axial centerline of the instrument guide tube passes through the bone screw receiving hole.