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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

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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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abnormality of spinal alignment.png

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