Unfortunately some people do need more than one surgery. back problems are difficult to treat at best. but you figure, you wouldn't be looking at this path if it wasn't already that bad !!
by being diligent with you back precautions you can slow the chances of needing more surgery. BLT--Bending, Lifting, Twisting. Low impact exercise--swimming, walking helps too.
Compliance with therapy and recovery is one of the main reasons spine surgeries fail or need to be repeated. Learn as much as you can about the recovery and tricks you can use (avoid the horror stories like the plague).
as far as the nicotine goes--I know all of our spine surgeons are adamant about no nicotine to help with recovery. As a nurse I can actually support this. The pathophysiology of bones supports this. the circulation to the bones is very, very sensitive--the bones don't use a lot of blood, so what blood they do get is very important.
Blaming every disease or problem on smoking or nicotine pisses me off--but occasionally, it may not be the cause, but it certainly doesn't help.
I haven't tried lower my nic yet--but I do find that using a bit of menthol in my flavors adds to the throat hit--this may help with lower the nic. FT Joe and Nana both use 0 nic and may be able to help with this.
YOU CAN DO THIS !!!!!!