Posterior Cervical Fascia Raphe

raphe fasciae cervicalis posterioris

The posterior cervical fascia raphe is the midline tendinous band running from the external occipital protuberance to the C7 spinous process, formed by the intersection of bilateral posterior cervical musculature aponeuroses. It provides attachment for the semispinalis capitis, splenius capitis, and trapezius and forms the deep boundary of the posterior cervical midline.

Region: Neck

Clinical Relevance

Clinical Notes

The posterior cervical raphe is the midline landmark incised during posterior cervical laminoplasty and laminectomy. Preservation of this structure during wound closure reduces post-operative muscle wasting and kyphotic collapse. The raphe is the location of posterior cervical ligament tears in whiplash injury. In posterior cervical fusion, strong midline anchorage to the raphe improves the muscle closure quality.

Pathology

Common Injuries & Conditions

Posterior Cervical Ligament Tear

Disruption of the posterior cervical midline raphe and attached ligamentous structures in severe hyperflexion injury, contributing to cervical instability and post-whiplash chronic neck pain.