Dergiler / Bağcılar Tıp Bülteni / 2021 / Cilt: 6 - Sayı: 3

The Relationship Between Active and Passive Exposure to Cigarette Smoke and Severe Lumbar Intervertebral Disc Degeneration According to Demographic Data

Demografik Verilere Göre Sigara Dumanına Aktif ve Pasif Maruziyet ile Ciddi Lomber İntervertebral Disk Dejenerasyonu Arasındaki İlişki

Sayfa
220–228
DOI
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Also it was thought that quitting smoking could reverse some of the negative effects associated with smoking contributing to disc degeneration.

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Amaç & Hipotez:Objective: To investigate the effect of current, former and passive smoking status on degeneration of lumbar intervertebral discs.
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Temel Bulgular & Veri:Method: Three hundred and sixty patients between the ages of 20 and 70 years, who underwent lumbar spinal magnetic resonance imaging, were included in the study.
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Sonuç & Katkı:Also it was thought that quitting smoking could reverse some of the negative effects associated with smoking contributing to disc degeneration.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: To investigate the effect of current, former and passive smoking status on degeneration of lumbar intervertebral discs. Method: Three hundred and sixty patients between the ages of 20 and 70 years, who underwent lumbar spinal magnetic resonance imaging, were included in the study. The patients were grouped according to their smoking status as current, former, passive smokers and non-smokers. The cumulative smoking dose for current and former smokers was calculated in terms of pack-years and categorized further into two subgroups: smoked ≤9 pack-years or >9 pack-years. Patients who had been exposed to cigarette smoke for more than one year and more than one hour a day were included in the passive smoker group. The lumbar intervertebral discs were evaluated by the Pfirrmann disc degeneration grading system using sagittal T2-weighted magnetic resonance images. Grades IV and V were considered as “severe disc degeneration”. Results: There was a statistically significant difference between smoking status and gender, age, body mass index and lumbar lordosis angle (p 9 pack-years current smoking was found to be significantly associated with L5-S1 disc degeneration (p<0.05). Conclusion: There is a significant relationship between passive smoking and severe disc degeneration at upper lumbar levels. Also it was thought that quitting smoking could reverse some of the negative effects associated with smoking contributing to disc degeneration.

Abstract

Amaç: Aktif, eski ve pasif sigara içme durumunun lomber intervertebral disklerin dejenerasyonuna etkisini araştırmaktır. Yöntem: Çalışmaya lomber spinal manyetik rezonans görüntüleme yapılan 20-70 yaş aralığında olan 360 hasta dahil edildi. Hastalar sigara içme durumlarına göre aktif, eski, pasif içici ve içmeyen olarak gruplandırıldı. Aktif ve eski sigara içenler için kümülatif sigara dozu paket yılı cinsinden hesaplandı ve iki alt gruba ayrıldı: ≤9 paket-yıl veya >9 paket-yıl. Bir yıldan fazla ve günde bir saatten fazla sigara dumanına maruz kalan hastalar pasif içici grubuna dahil edildi. Lomber intervertebral diskler, sagital T2 ağırlıklı manyetik rezonans görüntüleri kullanılarak Pfirrmann disk dejenerasyon derecelendirme sistemi ile değerlendirildi. Grade IV ve V olarak tanımlanan diskler, “ciddi disk dejenerasyonu” olarak kabul edildi. Bulgular: Sigara içme durumu ile cinsiyet, yaş, vücut kitle indeksi ve lomber lordoz açısı arasında istatistiksel olarak anlamlı bir fark vardı (p 9 paket-yıl aktif sigara içimi L5-S1 disk dejenerasyonu ile anlamlı derecede ilişkili bulundu (p<0,05). Sonuç: Üst lomber seviyelerde pasif sigara içimi ile ciddi disk dejenerasyonu arasında anlamlı bir ilişki vardır. Ayrıca sigarayı bırakmanın, disk dejenerasyonuna katkıda bulunan bazı sigara ile ilgili olumsuz etkileri tersine çevirebileceği düşünülmüştür.

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Bu Makaleye Atıf Yap

ÜLGER, F. E. B. (2021). The Relationship Between Active and Passive Exposure to Cigarette Smoke and Severe Lumbar Intervertebral Disc Degeneration According to Demographic Data. Bağcılar Tıp Bülteni, Cilt: 6 - Sayı: 3, 220–228. https://ajindex.com/articles/392766

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