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"If someone is in our office with back pain, chances are the more they smoke, the more opioids they're already on when they come to see us." Why nicotine and tobacco are bad for spine surgery When surgery is the best treatment option, tobacco users can expect a very frank conversation with their doctor about finally quitting

They made an offer that was so ridiculous they knew it could never be accepted, Durkee added

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Even people who have smoked for decades can see health benefits from quitting, he added