Waterpipe Smoking and Lumbar Intervertebral Disc Degeneration: A Pilot Study

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

Global Spine Journal Pub Date : 2024-09-17 DOI:10.1177/21925682241286451

Hala Ishak, Tarek P. Sunna, Sara A. Assaf, Hanin Banna, Riad A. Khouzami, Zhi Wang, Ghazi Zaatari, Diana Rahme, Carine J. Sakr

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Abstract

Study DesignRetrospective study.ObjectiveThe objective of this study is to investigate the association of waterpipe smoking with lumbar intervertebral disc degeneration (IVDD).MethodsThis is a retrospective chart review study. A total of 286 adults who underwent a lumbar magnetic resonance imaging (MRI) at a tertiary medical center were included and divided into three groups. Group 1 (n = 125) included non-smokers, group 2 (n = 80) smoked cigarettes only, and group 3 (n = 81) smoked waterpipe only. The intervertebral discs were graded using the Pfirmann disc degeneration grading system.ResultsThe study showed higher lumbar disc degeneration scores for waterpipe and cigarette smokers compared to non-smokers at all spinal levels. Specifically, post hoc analysis showed that there was a significant difference at L1-L2 between cigarette smokers and non-smokers ( P = 0.007) and between waterpipe smokers and non-smokers ( P = 0.013), and a significant difference at L3-L4 and L4-L5 between non-smokers and cigarettes smokers ( P < .001 and P = .029 respectively).ConclusionWaterpipe smoking is associated with lumbar intervertebral disc degeneration.

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水烟与腰椎间盘退变：一项试点研究

研究设计回顾性研究。方法这是一项回顾性病历审查研究。共有 286 名成年人在一家三级医疗中心接受了腰椎磁共振成像（MRI）检查，并被分为三组。第一组（n = 125）包括非吸烟者，第二组（n = 80）只吸烟，第三组（n = 81）只吸水烟。研究结果表明，与不吸烟者相比，水烟和香烟吸烟者在所有脊柱水平上的腰椎间盘退变评分都较高。具体而言，事后分析表明，在 L1-L2 段，香烟吸烟者与非吸烟者之间存在显著差异（P = 0.007），水烟吸烟者与非吸烟者之间存在显著差异（P = 0.013），在 L3-L4 和 L4-L5 段，非吸烟者与香烟吸烟者之间存在显著差异（分别为 P < .001 和 P = .029）。

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来源期刊

Global Spine Journal Medicine-Surgery

CiteScore

6.20

自引率

8.30%

发文量

278

审稿时长

8 weeks

期刊介绍： Global Spine Journal (GSJ) is the official scientific publication of AOSpine. A peer-reviewed, open access journal, devoted to the study and treatment of spinal disorders, including diagnosis, operative and non-operative treatment options, surgical techniques, and emerging research and clinical developments.GSJ is indexed in PubMedCentral, SCOPUS, and Emerging Sources Citation Index (ESCI).