{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:47:27Z","timestamp":1780084047815,"version":"3.54.0"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:00:00Z","timestamp":1739232000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>The patient, a 55-year-old female presenting with spinal deformity and exertional dyspnea, was referred to the hospital. Radiographic evaluation of her spine revealed an \u201cS\u201d-shaped scoliosis with a Cobb angle measuring 68\u00b0, indicative of severe scoliosis. Despite receiving medication for expectoration, postoperative symptoms including chest tightness, breathlessness, and ineffective coughing persisted and progressively worsened. Subsequent chest CT scans demonstrated extensive atelectasis, and pharmacological interventions proved to be ineffective. Considering the patient\u2019s clinical condition, we implemented airway clearance technique (ACT) along with prone ventilation to optimize cough effectiveness and mitigate atelectasis formation. The airway clearance techniques (ACT) employed include nebulization, continuous positive expiratory pressure (CPEP), and continuous high frequency oscillation (CHFO). Chest CT imaging confirmed that ACT substantially alleviated the patient\u2019s pulmonary atelectasis. Moreover, blood gas analysis indicated significant improvements in both the PaO<jats:sub>2<\/jats:sub>\/FiO<jats:sub>2<\/jats:sub> ratio and base excess of whole blood. Follow-up evaluation 1\u202fyear post-discharge revealed a favorable prognosis for the patient. We anticipate that our experience utilizing these novel therapeutic modalities will provide valuable insights for clinicians managing similar complications.<\/jats:p>","DOI":"10.3389\/fmed.2025.1518935","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T05:11:01Z","timestamp":1739250661000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Rui","family":"Zhai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hairong","family":"Su","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaxu","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoli","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"875","DOI":"10.3238\/arztebl.2010.0875","article-title":"Idiopathic scoliosis","volume":"107","author":"Trobisch","year":"2010","journal-title":"Dtsch Arztebl Int"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/j.rehab.2012.01.003","article-title":"Pathogenesis of idiopathic scoliosis: a review","volume":"55","author":"De S\u00e8ze","year":"2012","journal-title":"Ann Phys Rehabil Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1016\/j.prrv.2006.04.009","article-title":"Scoliosis and the respiratory system","volume":"7","author":"Koumbourlis","year":"2006","journal-title":"Paediatr Respir Rev"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"9","DOI":"10.3171\/spi.2004.1.1.0009","article-title":"Evaluation and treatment of adult spinal deformity. 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