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Vertebra Levels
C4            Bifurcation of common carotid = upper border of thyroid cartilage
C5
C6            Beginning of oesophagus
              Beginning of trachea
              Vertebral artery enters foramina transversaria
C7            Vertebra prominens
Sterno-       Bifurcation of the RIGHT brachiocephalic trunk
clavicular    Union of the internal jugular and subclavian vein to brachiocephalic vein
joints        (on both sides)
T1
T2            Superior border of scapula
       T2/3   Suprasternal notch
              Level of 1st rib at the front (T1 at the back)
T3            Medial end of spine of scapula
              End of pre-vertebral fascia
              Posterior end of oblique fissure of lung (to 6th costal cart)
              (transverse/horiz. fissure || to 4th costal cartilage to 5th rib mid-axillary)
              (costodiaphragmatic recess 8th-10th rib mid-axillary line)
       T3/4   Top of aortic arch
T4
       T4/5   Sternomanubrial joint
              Start/end of aortic arch
              Bifurcation of trachea at carina
              Bifurcation of pulmonary trunk?
T5            Thoracic duct crosses from right to left
T6
T7            Inferior angle of scapula
T8            IVC and right phrenic nerve enter diaphragm, left phrenic separate
              Hemiazygos vein crosses to left
T9            ant. Hiatus:
              Superior epigastric artery and vein through diaphragm
T10           Site for epidural
              Oesphagus, left gastric a, vagus pass through diaphragm
T11
T12           Aorta, hemi/azygos veins and thoracic duct pass behind diaphragm
              Coeliac axis
              Splanchnic nerves pierce crura
              Sympathetic trunk passes into abdomen
L1            End of spinal cord / conus medullaris
              Transpyloric plane!
              Superior mesenteric artery comes off aorta
      L1/2    Azygos vein forms from right subcostal and ascending lumbar veins
L2            Left crus of diaphragm inserts into body of L1+L2
              Start of small intestine mesentery
L3            Right crus of diaphram inserts into body of L1+L2+L3
              Inferior mesenteric artery comes off aorta
      L3/4    Site for lumbar puncture
              height of umbilicus
L4            Abdominal aorta bifurcates
              Iliac crest and supracristal plane
L5            IVC formed from common iliac veins
      L6/S1   Bifurcation of common iliac arteries (pelvic brim?)
S1
S2            End of dural sac of spinal cord, lumbar cistern
              Axis of sacrum, midpoint of sacro-iliac joint
              Lower attachment of small bowel mesentery
S3            Start of rectum
C. Riedinger 2011

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Overview of Structures at Different Vertebrae Levels

  • 1. Vertebra Levels C4 Bifurcation of common carotid = upper border of thyroid cartilage C5 C6 Beginning of oesophagus Beginning of trachea Vertebral artery enters foramina transversaria C7 Vertebra prominens Sterno- Bifurcation of the RIGHT brachiocephalic trunk clavicular Union of the internal jugular and subclavian vein to brachiocephalic vein joints (on both sides) T1 T2 Superior border of scapula T2/3 Suprasternal notch Level of 1st rib at the front (T1 at the back) T3 Medial end of spine of scapula End of pre-vertebral fascia Posterior end of oblique fissure of lung (to 6th costal cart) (transverse/horiz. fissure || to 4th costal cartilage to 5th rib mid-axillary) (costodiaphragmatic recess 8th-10th rib mid-axillary line) T3/4 Top of aortic arch T4 T4/5 Sternomanubrial joint Start/end of aortic arch Bifurcation of trachea at carina Bifurcation of pulmonary trunk? T5 Thoracic duct crosses from right to left T6 T7 Inferior angle of scapula T8 IVC and right phrenic nerve enter diaphragm, left phrenic separate Hemiazygos vein crosses to left T9 ant. Hiatus: Superior epigastric artery and vein through diaphragm T10 Site for epidural Oesphagus, left gastric a, vagus pass through diaphragm T11 T12 Aorta, hemi/azygos veins and thoracic duct pass behind diaphragm Coeliac axis Splanchnic nerves pierce crura Sympathetic trunk passes into abdomen L1 End of spinal cord / conus medullaris Transpyloric plane! Superior mesenteric artery comes off aorta L1/2 Azygos vein forms from right subcostal and ascending lumbar veins L2 Left crus of diaphragm inserts into body of L1+L2 Start of small intestine mesentery L3 Right crus of diaphram inserts into body of L1+L2+L3 Inferior mesenteric artery comes off aorta L3/4 Site for lumbar puncture height of umbilicus L4 Abdominal aorta bifurcates Iliac crest and supracristal plane L5 IVC formed from common iliac veins L6/S1 Bifurcation of common iliac arteries (pelvic brim?) S1 S2 End of dural sac of spinal cord, lumbar cistern Axis of sacrum, midpoint of sacro-iliac joint Lower attachment of small bowel mesentery S3 Start of rectum C. Riedinger 2011