Small bursae between adjacent cervical spinous processes, reducing friction during neck flexion and extension. They are most consistently present at C6-C7 and C7-T1 where the interspinous spaces are largest and motion is greatest.
Cervical interspinous bursitis contributes to posterior neck pain at the cervicothoracic junction, particularly after whiplash injuries and in patients with cervical hyperlordosis. Tenderness is localised to the interspinous space and worsens with neck extension. It is distinguished from facet joint pain by its midline location. Interspinous injection with steroid provides relief in most cases.
Midline posterior neck pain at the cervicothoracic junction from interspinous bursal inflammation, worsened by neck extension and direct spinous process palpation, managed with interspinous injection.
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