{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T07:02:34Z","timestamp":1774940554381,"version":"3.50.1"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"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. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To report a case of diplopia and tongue deviation following halo-pelvic traction (HPT) in a patient with severe congenital scoliosis (CS) and to analyze the potential causes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis of the patient's clinical data was conducted, including medical history, physical examination, imaging findings, treatment course, and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A 12-year-old female with CS was admitted. After 40 days of traction (with a total longitudinal lengthening of approximately 12\u2005cm), she developed painless horizontal diplopia and leftward deviation of the protruded tongue. Physical examination revealed limited abduction of the left eye and leftward deviation of the protruded tongue. Traction was discontinued, and neurotrophic therapy (including corticosteroids, mecobalamin, and B-complex vitamins) was initiated. Symptoms gradually resolved within 50 days, with complete resolution of diplopia and normalized tongue protrusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early recognition and discontinuation of traction, combined with multimodal therapy, may prevent permanent cranial nerve injury in patients undergoing HPT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1698138","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T05:31:52Z","timestamp":1774935112000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Diplopia and tongue deviation following halo-pelvic traction for severe congenital scoliosis: a case report"],"prefix":"10.3389","volume":"14","author":[{"given":"Rui","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]},{"name":"Department of Rehabilitation Medicine, WCSUH-Tianfu Sichuan Provincial Children's Hospital, Sichuan University","place":["Meishan, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yulian","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, West China Second University Hospital, Sichuan University","place":["Chengdu, Sichuan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1530\/eor-21-0121","article-title":"Congenital scoliosis: a narrative review and proposal of a treatment algorithm","volume":"7","author":"Sebaaly","year":"2022","journal-title":"EFORT Open Rev"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2155","DOI":"10.1007\/s00381-018-3915-6","article-title":"A comprehensive review of the diagnosis and management of congenital scoliosis","volume":"34","author":"Mackel","year":"2018","journal-title":"Childs Nervous Syst"},{"key":"B3","doi-asserted-by":"publisher","first-page":"SS174","DOI":"10.29271\/jcpsp.2022.Supp.S174","article-title":"Treatment of severe congenital scoliosis with type \u0406I respiratory failure","volume":"32","author":"Ma","year":"2022","journal-title":"J Coll Physicians Surg Pak"},{"key":"B4","doi-asserted-by":"publisher","first-page":"874","DOI":"10.1007\/s00586-023-07525-7","article-title":"Halo-pelvic traction in the treatment of severe scoliosis: a meta-analysis","volume":"32","author":"Sun","year":"2023","journal-title":"Eur Spine J"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-04985-5","article-title":"The impact of halo-pelvic traction on sagittal kyphosis in the treatment of severe scoliosis and kyphoscoliosis","volume":"19","author":"Liang","year":"2024","journal-title":"J Orthop Surg Res"},{"key":"B6","doi-asserted-by":"publisher","first-page":"E464","DOI":"10.1097\/bsd.0000000000001496","article-title":"Effectiveness of halo-pelvic traction and thoracoplasty for pulmonary artery pressure and cardiopulmonary function in patients with severe spinal deformity","volume":"36","author":"Tan","year":"2023","journal-title":"Clin Spine Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1097\/00003086-197707000-00015","article-title":"Cranial nerve injury from halo traction","author":"Wilkins","year":"1977","journal-title":"Clin Orthop Relat Res"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1490","DOI":"10.1097\/00007632-199807010-00011","article-title":"Hypoglossal nerve injury caused by halo-suspension traction. 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