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A 58-year-old patient with chronic low-back pain has lumbar disc-space narrowing and adjacent vertebral endplate sclerosis on CT. Which normal nutrient-delivery pathway to the central nucleus pulposus may be compromised by these changes?
singleBestAnswer
1
Radial diffusion from vessels at the outer annulus
2
Load-driven convection across the vertebral endplates
3
Diffusion from vertebral capillaries across the endplates
4
Direct perfusion through capillaries within the nucleus
5
Active transport through the endplate extracellular matrix

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