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Does Tobacco Smoking Affect the Postoperative Outcome of MIS Lumbar Decompression Surgery?
Background: Tobacco smoking is a major cause of morbidity and mortality worldwide. Several authors reported a significant negative impact of smoking on the outcome of spinal surgeries. However, comparative studies on the effect of smoking on the outcome of minimally invasive (MIS) spinal decompressi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179248/ https://www.ncbi.nlm.nih.gov/pubmed/37176733 http://dx.doi.org/10.3390/jcm12093292 |
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author | Khashan, Morsi Ofir, Dror Hochberg, Uri Schermann, Haggai Regev, Gilad J. Lidar, Zvi Salame, Khalil |
author_facet | Khashan, Morsi Ofir, Dror Hochberg, Uri Schermann, Haggai Regev, Gilad J. Lidar, Zvi Salame, Khalil |
author_sort | Khashan, Morsi |
collection | PubMed |
description | Background: Tobacco smoking is a major cause of morbidity and mortality worldwide. Several authors reported a significant negative impact of smoking on the outcome of spinal surgeries. However, comparative studies on the effect of smoking on the outcome of minimally invasive (MIS) spinal decompression are rare with conflicting results. In this study, we aimed to evaluate clinical outcomes and postoperative complications following MIS decompression in current and former smoking patients compared to those of non-smoking patients. Methods: We used our prospectively collected database to retrospectively analyse the records of 188 consecutive patients treated with MIS lumbar decompression at our institution between November 2013 and July 2017. Patients were divided into groups of smokers (S), previous smokers (PS) and non-smokers (N). The S group and the PS group comprised 31 and 40 patients, respectively. The N group included 117 patients. The outcome measures included perioperative complications, revision surgery and length of stay. Patient-reported outcome measures included a visual analogue scale (VAS) for back pain and leg pain, as well as the Oswestry disability index (ODI) for evaluating functional outcomes. Results: Demographic variables, comorbidity and other preoperative variables were comparable between the three groups. A comparison of perioperative complications and revision surgery rates showed no significant difference between the groups. All groups showed significant improvement in their ODI and VAS scores at 12 and 24 months following surgery. As shown by a multivariate analysis, current smokers had lower chances of improvement, exceeding the minimal clinical important difference (MCID) in ODI and VAS for leg pain at 12 months but not 24 months postoperatively. Conclusions: Our findings show that except for a possible delay in improvement in leg pain and disability, tobacco smoking has no substantial adverse impact on complications and revision rates following MIS spinal decompressions. |
format | Online Article Text |
id | pubmed-10179248 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-101792482023-05-13 Does Tobacco Smoking Affect the Postoperative Outcome of MIS Lumbar Decompression Surgery? Khashan, Morsi Ofir, Dror Hochberg, Uri Schermann, Haggai Regev, Gilad J. Lidar, Zvi Salame, Khalil J Clin Med Article Background: Tobacco smoking is a major cause of morbidity and mortality worldwide. Several authors reported a significant negative impact of smoking on the outcome of spinal surgeries. However, comparative studies on the effect of smoking on the outcome of minimally invasive (MIS) spinal decompression are rare with conflicting results. In this study, we aimed to evaluate clinical outcomes and postoperative complications following MIS decompression in current and former smoking patients compared to those of non-smoking patients. Methods: We used our prospectively collected database to retrospectively analyse the records of 188 consecutive patients treated with MIS lumbar decompression at our institution between November 2013 and July 2017. Patients were divided into groups of smokers (S), previous smokers (PS) and non-smokers (N). The S group and the PS group comprised 31 and 40 patients, respectively. The N group included 117 patients. The outcome measures included perioperative complications, revision surgery and length of stay. Patient-reported outcome measures included a visual analogue scale (VAS) for back pain and leg pain, as well as the Oswestry disability index (ODI) for evaluating functional outcomes. Results: Demographic variables, comorbidity and other preoperative variables were comparable between the three groups. A comparison of perioperative complications and revision surgery rates showed no significant difference between the groups. All groups showed significant improvement in their ODI and VAS scores at 12 and 24 months following surgery. As shown by a multivariate analysis, current smokers had lower chances of improvement, exceeding the minimal clinical important difference (MCID) in ODI and VAS for leg pain at 12 months but not 24 months postoperatively. Conclusions: Our findings show that except for a possible delay in improvement in leg pain and disability, tobacco smoking has no substantial adverse impact on complications and revision rates following MIS spinal decompressions. MDPI 2023-05-05 /pmc/articles/PMC10179248/ /pubmed/37176733 http://dx.doi.org/10.3390/jcm12093292 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Khashan, Morsi Ofir, Dror Hochberg, Uri Schermann, Haggai Regev, Gilad J. Lidar, Zvi Salame, Khalil Does Tobacco Smoking Affect the Postoperative Outcome of MIS Lumbar Decompression Surgery? |
title | Does Tobacco Smoking Affect the Postoperative Outcome of MIS Lumbar Decompression Surgery? |
title_full | Does Tobacco Smoking Affect the Postoperative Outcome of MIS Lumbar Decompression Surgery? |
title_fullStr | Does Tobacco Smoking Affect the Postoperative Outcome of MIS Lumbar Decompression Surgery? |
title_full_unstemmed | Does Tobacco Smoking Affect the Postoperative Outcome of MIS Lumbar Decompression Surgery? |
title_short | Does Tobacco Smoking Affect the Postoperative Outcome of MIS Lumbar Decompression Surgery? |
title_sort | does tobacco smoking affect the postoperative outcome of mis lumbar decompression surgery? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179248/ https://www.ncbi.nlm.nih.gov/pubmed/37176733 http://dx.doi.org/10.3390/jcm12093292 |
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