Which spinal condition, even if well-managed, requires the medical examiner to pay special attention to narcotic analgesic use when making a certification decision?
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A
Mild lumbar spondylosis with no functional limitation
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B
Chronic severe spinal stenosis treated with long-term opioid pain management
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C
Asymptomatic disc bulge noted incidentally on imaging
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D
Successfully fused vertebral fracture from 15 years prior with no current symptoms