Is smoking a risk factor for lumbar disc herniation?

Huang, Weimin; Qian, Ying; Zheng, Keke; Yu, Lili; Yu, Xiuchun

doi:10.1007/s00586-015-4103-y

Cited by 37 publications

(28 citation statements)

References 43 publications

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“…On the other hand, the medical literature is mixed on whether people who smoke are at greater risk for a new herniation following a discectomy [ 26 - 28 ]. Our study suggests that there was not any correlation in groups between smoke and patients’ outcomes.…”

Section: Discussionmentioning

confidence: 99%

Recurrence Is Associated With Body Mass Index in Patients Undergoing a Single-Level Lumbar Disc Herniation Surgery

et al. 2018

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BackgroundThe aim of the study was to assess the body mass index (BMI) and other risk factors associated with lumbar disc herniation (LDH) and clinical outcomes, in patients who undergo surgery for single-level LDH.MethodsThis was a retrospective cohort study, affecting patients that underwent surgery for single-level LDH attending our hospital between July 2009 and January 2016. The mean follow-up period was 3.5 years (1 - 8 years). To maintain adequately sized groups for analysis, level L2-L3 and L3-L4 herniations were grouped as upper disc levels (group A) and level L4-L5 (group B) and L5-S1 (group C) herniations were analyzed individually. Disk herniation was graded on T2-weighted sagittal magnetic resonance images by using a five-point scale. Pain assessment was made using the visual analog scale (VAS).ResultsTwo hundred fifty-six (256) patients met study inclusion criteria. There were 138 males (53.9%) with a mean age of 55.3 ± 12.9 years (range, 30 - 77). The association between A, B and C groups was analyzed, based on criteria such as age, sex, BMI, surgical techniques, diabetes, size of herniated disc, preoperative VAS, length of hospital stay, drop foot on admission, smoking, family history and history of injury to the lumbar spine, location of herniated disc (far lateral) and use of steroids. We found a statistically significant factor between groups in BMI (P = 0.006), family history (P = 0.001), location (far lateral) (P = 0.003) and history of injury to the lumbar spine (P = 0.003).ConclusionsThere may be an association between severity of disc degeneration and BMI (overweight and obese adults). Furthermore, spine and neurosurgeons should be aware that BMI might be related to patients’ outcome.

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Section: Discussionmentioning

confidence: 99%

Recurrence Is Associated With Body Mass Index in Patients Undergoing a Single-Level Lumbar Disc Herniation Surgery

et al. 2018

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“…Also, this finding may demonstrate the negative impact of regular smoking, not only on the recovery process but also on the development of lumbar disc disease in young individuals. Smoking has already been identified as a risk factor for the development of LDH [15,16] as well as for the risk of re-herniation [17]. Likewise, the negative impact of smoking on the improvement of the functional status is already known [29].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to obesity, smoking also represents an important factor that influences the health of young individuals, as nearly one-third of people aged 30 and younger in Central Europe are regular smokers [14]. Smoking habits were found to have a negative impact not only on the development of LDH [15,16], but also on re-herniation rates [17]. Nevertheless, the impact of smoking on recovery, especially in adolescents, is not clear.…”

Section: Introductionmentioning

confidence: 99%

The impact of obesity and smoking on young individuals suffering from lumbar disc herniation: a retrospective analysis of 97 cases

et al. 2019

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The negative impact on spinal diseases may apply not only to obesity but also to smoking. To investigate the influence of obesity and smoking on the development and recovery of lumbar disc herniation in young adults. Retrospective analysis of 97 patients who presented with lumbar disc herniation at the authors' department between 2010 and 2017. Data were collected using the patients' digital health records including demographics, clinical and neurological characteristics, treatment details, and outcomes. Ninety-seven patients between 17 and 25 years were included in this retrospective analysis. Patients were categorized into two groups according to their body mass index: obese (O, ≥ 30 kg/m 2 ) and non-obese (NO, < 30 kg/m 2 ). The proportion of obese patients in our cohort vs. in the overall population differed significantly (19.4% vs. 3.8-7.1%, RR 3.17; p < 0.01). Group NO showed a trend toward faster recovery of motor deficits (p = 0.067) and pain (p = 0.074). Also, the proportion of regular smokers differed significantly from the numbers of known smokers of the same age (62.4% vs. 30.2%, RR 2.0; p = 0.01). Obesity plus smoking showed a significantly negative impact on motor deficits postoperatively (p = 0.015) and at discharge (p = 0.025), as well as on pain values (p = 0.037) and on analgesic consumption (p = 0.034) at 6 weeks follow-up. The negative impact of obesity and smoking on the occurrence of lumbar disc herniation could be demonstrated for individuals aged 25 or younger. Furthermore, a trend to earlier recovery of motor deficits and significantly lower pain scales for non-obese and non-smoking patients could be shown.

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“…Um ciclo vicioso de alterações envolvendo componentes genéticos, mecânicos e também relacionados a hábitos de vida com a via final de ruptura e degeneração discal parece levar ao problema (KADOW et al, 2015;ROPPER;ZAFONTE, 2015;VERGROESEN et al, 2015). Pesquisas indicam como fatores de risco tabagismo, obesidade, aplicação de cargas repetitivas à coluna vertebral em atividades laborais ou esportivas, dislipidemia, diabetes e até infecção pelo Propionibacterium acnes (ALBERT et al, 2013;HUANG et al, 2016;MOBBS;NEWCOMBE;CHANDRAN, 2001;ZHANG et al, 2016).…”

Section: Século XXIunclassified

“…Uma análise sistemática listou 12 estudos envolvendo coortes e caso-controle encontrando risco 1,27 vezes maior entre fumantes para a chance de desenvolver HDL que sobe para 1,48 se considerados apenas estudos caso-controle (HUANG et al, 2016). Em outro trabalho ratos foram expostos a um regime de inalação de fumaça de tabaco de quatro cigarros por dia, cinco dias por semana, por quatro semanas, observando-se diminuição de 2,6 vezes no conteúdo de glicosaminoglicanos e de 8,1 vezes no de proteoglicanos nos DIVs dos mesmos.…”

Section: Tabagismounclassified

Avaliação da descompressão discal por via percutânea a laser em pacientes com neuralgia ciática. Utilização de comprimento de onda 980 nm com posicionamento central da agulha

Franco¹

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Is smoking a risk factor for lumbar disc herniation?

Abstract: This systematic review demonstrates that smoking promotes the development of LDH.

Cited by 37 publications

References 43 publications

Recurrence Is Associated With Body Mass Index in Patients Undergoing a Single-Level Lumbar Disc Herniation Surgery

Recurrence Is Associated With Body Mass Index in Patients Undergoing a Single-Level Lumbar Disc Herniation Surgery

The impact of obesity and smoking on young individuals suffering from lumbar disc herniation: a retrospective analysis of 97 cases

Avaliação da descompressão discal por via percutânea a laser em pacientes com neuralgia ciática. Utilização de comprimento de onda 980 nm com posicionamento central da agulha

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