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A secondary analysis of a large, randomized, placebo-controlled trial that included subjects (N=608) who were 20 years of age, smoked 5 cigarettes per day, and were in good overall health

Other harmful effects of tobacco on the spine are the degeneration of the bone matrix which makes osteoporosis more likely, and greater structural damage to the vertebrae, poor post-surgical healing, and worse and weaker healing overall

Archived from the original on 2022-06-08

Paul Williams smoked also and smoking exacerbates sickle cell anemia, but unfortunately pre-1970 not much was known about sickle cell anemia and there was not an abundance of knowledge about the long term effects of smoking