Cervical spondylosis is very common in older patients. Which of the following statements is true regarding its association with marked muscle wasting in the hand?

A: Cervical spondylosis is the primary cause of marked muscle wasting in the hand.

B: Cervical spondylosis rarely causes marked muscle wasting in the hand; other causes should be considered.

C: Cervical spondylosis always leads to marked muscle wasting in the hand.

D: Cervical spondylosis never affects the muscles of the hand.

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