**Core Concept**
Neuraxial blockade involves injecting local anesthetics or opioids into the cerebrospinal fluid surrounding the spinal cord, affecting nerve conduction. Absolute contraindications for neuraxial blockade are conditions where performing the procedure poses significant risks to the patient, often due to potential bleeding or infection.

**Why the Correct Answer is Right**
Neuraxial blockade is not absolutely contraindicated in patients with a history of previous lumbar punctures or spinal anesthesia. These patients have a lower risk of developing a spinal hematoma or infection due to their pre-existing familiarity with the procedure and potential reduced bleeding risk. However, conditions with an increased risk of bleeding or infection are contraindications.

**Why Each Wrong Option is Incorrect**
**Option A:** Coagulopathy is a condition where blood coagulation is impaired, increasing the risk of bleeding complications during neuraxial blockade. Performing neuraxial blockade in a patient with coagulopathy would significantly increase the risk of a spinal hematoma.

**Option B:** Septic arthritis of the spine is an infection within the spinal joint space, which would pose a significant risk of spreading the infection to the surrounding neural structures if a neuraxial blockade were performed.

**Option C:** Meningitis is an infection of the meninges, the protective membranes covering the brain and spinal cord. Performing a neuraxial blockade in a patient with meningitis would increase the risk of spreading the infection and exacerbating the condition.

**Clinical Pearl / High-Yield Fact**
When considering neuraxial blockade, it is essential to assess the patient's coagulation status and identify any potential sources of infection before proceeding with the procedure.

**Correct Answer: D.**