Abstract: A spine fixation plate apparatus 50 includes a plate 52 with one or more keels 62, 64 extending therefrom for purposes of strengthening the apparatus 50 and also for purposes of providing surfaces and regions for bone ingrowth in order to firmly position the apparatus 50 in the bone and, in particular, in a vertebra. The apparatus 50 is particularly advantageous for use in an anterior approach to the L5, S1 vertebral region of the spine in order to immobilize the L5 vertebra with respect to the S1 vertebra.