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The effect of cigarette smoke appears to be based on the procedure that is being conducted, but contrastingly to the above information, individuals who underwent non-instrumented lumbar spine surgery appeared to have a favourable response in terms of back pain and health-related quality of life in both smokers and non-smokers for up to 4.5 years post-surgery (Stienen et al., 2016)

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The 2020 bill was vetoed by DeSantis, who cited concerns about e-cigarette users turning to cigarettes or the black market