A 2-day-old male presents with a prominent, fluid-filled sac at the lumbosacral spine noted at delivery. Vital signs show HR 145 bpm, RR 48, BP 65/42, and temperature 37.2°C. Physical examination reveals meninges and spinal cord tissue protruding through a midline vertebral defect. Neuroimaging confirms exposed neural elements without surrounding bone. The infant has intact lower extremity reflexes. Laboratory studies show normal cerebrospinal fluid parameters. A failure of which embryologic process most commonly causes this malformation?
- A)Development of primary vertebral ossification centers
- B)Development of the pedicle
- C)Fusion of the vertebral archesGABARITO
- D)Development of the body
- E)Development of the superior articular process
Explicação
The correct answer is E. Source: Kaplan USMLE Step 1 QBank — Anatomy Test 1. Ver explicação completa e trilha adaptativa →