Spinal nerve C8 exit between two vertebrae C7 - C8?

Yes, the spinal nerve C8 exits between the C7 and C8 vertebrae. In the cervical region, there are eight cervical spinal nerves (C1 to C8), but only seven cervical vertebrae. Therefore, the C8 nerve root exits below the C7 vertebra and above the C8 vertebra, which is why it is uniquely positioned.