Understanding of growth events is of importance in orthodontics. To know the exact status of growth, for treatment planning and treatment prognosis skeletal maturity indicators are used. The most widely used method for skeletal maturation analysis is hand wrist bone radiograph. The assessment of degree of cervical bone maturation is another method for assessing skeletal maturation. The present study is to find the possible concordance between hand wrist bone radiograph and cervical vertebral analysis using lateral cephalograph.