The Triassic was a key period in the evolution of vertebrates, and reptiles in particular, giving rise to a plethora of successful lineages, some of which are still extant. One of the groups that flourished during the early Mesozoic were the tanysaurians (Archosauromorpha: Tanysauria). They had elongate neck vertebrae that in some genera reached extreme proportions. Here, we provide the first comprehensive description of the internal structure of these extraordinary elements, focusing on the famously bizarre Tanystropheus. Through computed tomography and sectioning, we were able to reveal some intriguing features comparable to those seen in pterosaurs and birds. However, contrary to what we see in pneumatic bones, cervicals of tanysaurians contain a singular voluminous cavity. This results in a cylindrical structure in these vertebrae, which likely provided durability, while contributing less to the weight of the neck. These insights are relevant for better understanding of a unique and extreme anatomy among tetrapods, which evolved as a result of very strict selection for some particular function. Importantly, our findings demonstrate that major modifications of the internal anatomy of vertebrae were not unique to derived avemetatarsalians (pterosaurs and dinosaurs), but more widespread among reptiles.