1984
DOI: 10.1097/00007632-198409000-00012
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Acute Prolapsed Lumbar Intervertebral Disc An Epidemiologic Study with Special Reference to Driving Automobiles and Cigarette Smoking

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Cited by 232 publications
(125 citation statements)
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“…This finding is coherent with those of other studies (6,14,21,27). No obvious explanation has been found for this association, and it is not certain that tobacco consumption plays a causal role.…”
supporting
confidence: 89%
See 1 more Smart Citation
“…This finding is coherent with those of other studies (6,14,21,27). No obvious explanation has been found for this association, and it is not certain that tobacco consumption plays a causal role.…”
supporting
confidence: 89%
“…Other factors such as edu cational level or tobacco consumption have been studied and will be discussed later. Most of the etiologic factors have been studied in the work environment, and the most consistent results are related to the lifting of heavy loads (7,8,(15)(16)(17)(18)(19), and the driving of motor vehicles (8,(19)(20)(21) …”
mentioning
confidence: 99%
“…It is surprising that the multivariate analyses did not identify a significant association between smoking and disability following any of the back disorders or carpal tunnel syndrome, given the substantial literature associating smoking with the incidence (though not necessarily the development of disability) of these conditions [Frymoyer et al, 1980;Svensson et al, 1983;Kelsey et al, 1984;Owen and Damron, 1984;Biering-Sørensen and Thomsen, 1986;Saraste and Hultman, 1987;Battié et al, 1989;Deyo and Bass, 1989;Vessey et al, 1990;Heliövarra et al, 1991;Tsai et al, 1992;Boshuizen et al, 1993;O'Connor and Marlowe, 1993;Reynolds et al, 1994;Finkelstein, 1995;Nathan et al, 1996;Tanaka et al, 1997]. Perhaps there are many more causal pathways and mediating factors for back disorders that dilute the effect of smoking.…”
Section: Discussionmentioning
confidence: 99%
“…Other genetically influenced factors may be body habitus and physical characteristics [13], whereas non-genetically influenced and therefore confounding risk factors in this clinical report may be smoking [8] (patient 1) and performing a physically demanding job [2] (patient 1 and 2), as these are risk factors at least in lumbar disc herniation. Finally, we cannot exclude the possibility that the occurrence of a symptomatic thoracic disc herniation at the exact same level and early age in these brothers was merely coincidental, given the high prevalence (37%) of thoracic disc herniations in asymptomatic individuals [21].…”
Section: Discussionmentioning
confidence: 91%