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    Subjects/Anatomy/Vertebral Column — Surface Landmarks
    Vertebral Column — Surface Landmarks
    easy
    bone Anatomy

    A 45-year-old man with suspected bacterial meningitis requires an urgent lumbar puncture for CSF analysis. During the procedure, the clinician palpates the highest points of the iliac crests (marked **D** in the diagram) to identify the Tuffier line as a landmark. At which vertebral level do the iliac crests lie, and what is the safest interspace for needle insertion in this adult patient?

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