{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:48:17Z","timestamp":1782442097342,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Recurrent pneumothorax following posterior spinal fixation is a rare but life\u2010threatening complication, particularly in polytrauma patients with underlying pulmonary contusion. We report a 19\u2010year\u2010old male involved in a high\u2010speed maritime accident who sustained a T12 fracture and right\u2010sided pulmonary contusion. Initial pneumothorax was managed with a chest tube, which was removed after radiographic resolution. Subsequently, the patient underwent posterior T10\u2013L2 fixation. Immediately postoperatively, he developed acute dyspnea and massive recurrent pneumothorax requiring urgent re\u2010intervention. Despite limited initial imaging data due to his foreign national status, the patient recovered fully following tertiary care referral. This case illustrates that radiographic lung re\u2010expansion is an insufficient criterion for chest tube removal before spinal surgery. The physiological stress of prone positioning and positive pressure ventilation can reactivate occult air leaks in contused lungs. We recommend retaining chest tubes until after spinal fixation to prevent catastrophic recurrence.<\/jats:p>","DOI":"10.1002\/rcr2.70651","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T08:28:21Z","timestamp":1781857701000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent Pneumothorax Following Multilevel Posterior Spinal Fixation in a Patient With Pre\u2010Existing Pulmonary Contusion: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"given":"Parisa","family":"Mirzaei","sequence":"first","affiliation":[{"name":"Rajaee Trauma Hospital Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9496-5643","authenticated-orcid":false,"given":"Zahra","family":"Baghani","sequence":"additional","affiliation":[{"name":"Student Research Committee Bushehr University of Medical Sciences  Bushehr Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4849-6706","authenticated-orcid":false,"given":"Mohammad Javad","family":"Mousavi","sequence":"additional","affiliation":[{"name":"Department of Immunology and Allergy, Faculty of Medicine Bushehr University of Medical Sciences  Bushehr Iran"},{"name":"Clinical Research Development Center, the Persian Gulf Martyrs Hospital Bushehr University of Medical Sciences  Bushehr Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30925-9"},{"key":"e_1_2_9_3_1","volume-title":"Global Status Report on Road Safety 2023","author":"WHO SaMS, Social Determinants of Health (SDH)","year":"2023"},{"key":"e_1_2_9_4_1","volume-title":"Guidelines for Essential Trauma Care","author":"WHO CSaSC","year":"2012"},{"key":"e_1_2_9_5_1","volume-title":"Resources for Optimal Care of the Injured Patient","author":"Surgeons ACo","year":"2022"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1582232"},{"issue":"7","key":"e_1_2_9_7_1","article-title":"Pneumothorax in the Setting of Spinal Surgery: A Case Report and Review of the Literature","volume":"14","author":"Levin N. 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