Talismanic batsman Smith was struck on the neck by a Jofra Archer bouncher on day four on Saturday and retired hurt before later returning to resume his innings.
The in-form Smith, who made centuries in each innings of the first Test at Edgbaston, did not play at all on day five, though, after suffering with delayed concussion.
Marnus Labuschagne was called in as a concussion substitute and made a brilliant 59 as the tourists battled to a draw to maintain their 1-0 series lead.
Smith said he was “hopeful” he would recover to feature at Headingley, but any hopes of participation in Leeds were ended by Langer on Tuesday.
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