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Introduction: Cranial traction leading to 6th nerve palsy is the main cause of developing diplopia following spinal surgery. Very few cases of abducens nerve palsy as a complication of surgery without cranial traction have been described. We review a series of four patients who developed diplopia following spinal surgery only one of which had cranial pins or apparent traction on the abducens nerve.
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Alaa Abd‐Elsayed (2011) studied this question.
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