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Impact of Nontobacco Nicotine Dependence on Outcomes Following Anterior Lumbar Interbody Fusion.

Hirpara A, Shah A, Moyal AJ, Adelstein JM, Burkhart RJ, Stirpe C, Cheng CW, Gordon ZL, Furey CG, Rajan PV · Spine, 2026

e-cigarettenicotine-pouchgeneral

A study of over 4,500 spine surgery patients found that those using nontobacco nicotine products (e-cigarettes, pouches, gums, lozenges) experienced more complications, infections, opioid use, and need for repeat surgery compared to nonusers in the 2 years following lumbar fusion surgery.

Relevance to India: None stated.