Evidence map›Paper›PMID 42328154›Full record

ArticleRespirology case reports2026

Recurrent Pneumothorax Following Multilevel Posterior Spinal Fixation in a Patient With Pre-Existing Pulmonary Contusion: A Case Report.

Parisa Mirzaei, Zahra Baghani, Mohammad Javad Mousavi

Abstract read
In one paragraph

Article in Respirology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Parisa MirzaeiRajaee Trauma Hospital Shiraz University of Medical Sciences Shiraz Iran.
Zahra BaghaniStudent Research Committee Bushehr University of Medical Sciences Bushehr Iran.ORCID https://orcid.org/0009-0004-9496-5643
Mohammad Javad MousaviDepartment of Immunology and Allergy, Faculty of Medicine Bushehr University of Medical Sciences Bushehr Iran.ORCID https://orcid.org/0000-0003-4849-6706

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recurrent pneumothorax following posterior spinal fixation is a rare but life-threatening complication, particularly in polytrauma patients with underlying pulmonary contusion. We report a 19-year-old male involved in a high-speed maritime accident who sustained a T12 fracture and right-sided pulmonary contusion. Initial pneumothorax was managed with a chest tube, which was removed after radiographic resolution. Subsequently, the patient underwent posterior T10-L2 fixation. Immediately postoperatively, he developed acute dyspnea and massive recurrent pneumothorax requiring urgent re-intervention. 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-expansion 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.

Indexed as

alveolar‐pleural fistulachest tube managementmaritime accidentpolytraumapositive pressure ventilationposterior spinal fixationpulmonary contusionrecurrent pneumothorax

Identifiers

PMID42328154
PMCPMC13280559

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.