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Does smoking affect the outcomes of lumbar decompression surgery?
Introduction: Lumbar decompressions and micro-discectomies are commonly performed non-complex spinal surgeries that do not involve the insertion of metalwork into the spine and are done for symptomatic disc prolapse and lumbar spinal stenosis, whereas complex-spinal surgery does require metalwork [1...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
EDP Sciences
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699235/ https://www.ncbi.nlm.nih.gov/pubmed/29165239 http://dx.doi.org/10.1051/sicotj/2017050 |
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author | Mehta, Radha Sharma, Himanshu |
author_facet | Mehta, Radha Sharma, Himanshu |
author_sort | Mehta, Radha |
collection | PubMed |
description | Introduction: Lumbar decompressions and micro-discectomies are commonly performed non-complex spinal surgeries that do not involve the insertion of metalwork into the spine and are done for symptomatic disc prolapse and lumbar spinal stenosis, whereas complex-spinal surgery does require metalwork [1]. Studies of complex-spinal surgeries show that smoking has a significant negative impact on the outcome of the surgery [2] therefore, the cessation of smoking is advised prior to surgery [3]. There are evidences in the literature supportive as well as opposing this statement about continued smoking and poor outcome of decompressive spinal surgeries. Methods: We retrospectively reviewed 143 consecutive patients who have had either a micro-discectomy or a micro-decompression. Results: We found no statistical difference between smokers and non-smokers in the outcomes of lumbar decompression surgery. Both groups improved equally and significantly in terms of back pain, leg pain and functions. Out of 143 patients, only 2% more non-smokers had improved leg pain compared to smokers, 1% less non-smokers had improved back pain and 2% more non-smokers had an improved Oswestry Disability Index (ODI) score. Discussion: We recommend that it is important to surgically treat both smokers and non-smokers in need of a lumbar spinal decompression. |
format | Online Article Text |
id | pubmed-5699235 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | EDP Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-56992352017-12-05 Does smoking affect the outcomes of lumbar decompression surgery? Mehta, Radha Sharma, Himanshu SICOT J Research Introduction: Lumbar decompressions and micro-discectomies are commonly performed non-complex spinal surgeries that do not involve the insertion of metalwork into the spine and are done for symptomatic disc prolapse and lumbar spinal stenosis, whereas complex-spinal surgery does require metalwork [1]. Studies of complex-spinal surgeries show that smoking has a significant negative impact on the outcome of the surgery [2] therefore, the cessation of smoking is advised prior to surgery [3]. There are evidences in the literature supportive as well as opposing this statement about continued smoking and poor outcome of decompressive spinal surgeries. Methods: We retrospectively reviewed 143 consecutive patients who have had either a micro-discectomy or a micro-decompression. Results: We found no statistical difference between smokers and non-smokers in the outcomes of lumbar decompression surgery. Both groups improved equally and significantly in terms of back pain, leg pain and functions. Out of 143 patients, only 2% more non-smokers had improved leg pain compared to smokers, 1% less non-smokers had improved back pain and 2% more non-smokers had an improved Oswestry Disability Index (ODI) score. Discussion: We recommend that it is important to surgically treat both smokers and non-smokers in need of a lumbar spinal decompression. EDP Sciences 2017-11-22 /pmc/articles/PMC5699235/ /pubmed/29165239 http://dx.doi.org/10.1051/sicotj/2017050 Text en © The Authors, published by EDP Sciences, 2017 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Mehta, Radha Sharma, Himanshu Does smoking affect the outcomes of lumbar decompression surgery? |
title | Does smoking affect the outcomes of lumbar decompression surgery? |
title_full | Does smoking affect the outcomes of lumbar decompression surgery? |
title_fullStr | Does smoking affect the outcomes of lumbar decompression surgery? |
title_full_unstemmed | Does smoking affect the outcomes of lumbar decompression surgery? |
title_short | Does smoking affect the outcomes of lumbar decompression surgery? |
title_sort | does smoking affect the outcomes of lumbar decompression surgery? |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699235/ https://www.ncbi.nlm.nih.gov/pubmed/29165239 http://dx.doi.org/10.1051/sicotj/2017050 |
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