Vertebra level and associated landmark

Vertebra level

Significance / Associated Landmark

C2 (Axis)

• Dens (odontoid process)

allows rotation of the head

C4

• Bifurcation of common carotid

artery (CCA)

• Upper border of thyroid cartilage 

C6 

Carotid / Chassaignac tubercle

(Anterior tubercle of transverse

process of C6 vertebra)

T2

Superior border of scapula

(Scapula bone T2 to T7)

T4 / T5

• Level of the sternal angle

(Angle of Louis)

• Landmark for the second rib

and bifurcation of the trachea

T7 

Inferior angle of scapula bone 

(Scapula bone T2 to T7)

T8

• IVC opening in diaphragm 

• Hemiazygos vein cross

from left to right

T9

Xiphisternal joint

T10 

Oesophageal opening in diaphragm 

T12 

• Aortic opening in diaphragm

• Celiac trunk arises from abdominal aorta)

L1 

• Trans pyloric plane

• Superior mesenteric artery arise 

(from abdominal aorta)

• End of the spinal cord (conus

medullaris) in adults.

L3

Inferior mesenteric artery arise 

L3 & L4

Umbilicus

L4

• Level of iliac crest

• Abdominal aorta bifurcation 

L4 / L5 

Lumbar puncture site

S2 

Level of the posterior superior 

iliac spine (PSIS)

Tip of

coccyx

Ischial spine

(PYQ: INICET May 2024)

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