David A. Spiegel, MD

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David A. Spiegel, MD, is an attending surgeon in the Division of Orthopaedics at Children's Hospital of Philadelphia with expertise in neuromuscular disorders, spine conditions and fractures.

Areas of Expertise: Cerebral palsy, Fractures, Neuromuscular disorders, Scoliosis
Locations: Buerger Center for Advanced Pediatric Care; Specialty Care, King of Prussia; Middleman Family Pavilion

Appointments, Referrals and Video Visits: 215-590-1527

Background

Dr. Spiegel specializes in neuromuscular diseases, trauma, and scoliosis and is Professor of Orthopaedic Surgery at the University of Pennsylvania School of Medicine. He is a Center for Global Health Scholar at the University of Pennsylvania. He attended Duke University for college, medical school, and orthopaedic surgical residency training, and then completed both a research and a clinical fellowship in pediatric orthopaedics at Children's Hospital of Philadelphia.

He has also dedicated considerable energy to volunteer work in low and middle-income countries, most frequently Nepal and Iraq. Dr. Spiegel has received five humanitarian awards, including the President's Call to Service Award (2006) by the President’s Council on Service and Civic Participation, for 4,000 hours of community service, the Golden Apple Award from Health Volunteers Overseas (2009), and the Humanitarian Award from the Pediatric Orthopaedic Society of North America (2013), the Scoliosis Research Society (2016), and the American Academy of Orthopaedic Surgeons (2017).

Dr. Spiegel has served as an Honorary Consultant in Orthopaedics and Rehabilitation at the Hospital & Rehabilitation Centre for Disabled Children in Banepa, Nepal, for more than 20 years and is also an Honorary Professor at the University of Basrah, Basrah, Iraq. He has served on the Committee on Children’s Orthopaedics in Underdeveloped Regions of the Pediatric Orthopaedic Society of North America (POSNA) for more than 10 years, and was Chairman for three years. He has also served as Chairman of the Bone and Joint Decade committee and the Global Courses Committee of POSNA. He has been on the Board of Orthopaedics Overseas, Global-HELP, the Ponseti International Association, and Miracle Feet. He served on the International Committee of the American Academy of Orthopaedic Surgeons and directed their international scholars program for two years.

He has served as a consultant for the World Health Organization (WHO) in Mongolia and Somalia, and was on the steering committee for the WHO’s Global Initiative for Emergency and Essential Surgical Care. He has delivered more than 300 invited lectures, mostly at international venues including Nepal, Iran, Iraq, China, Pakistan, Tanzania, Mongolia and Somalia.

He co-edited a textbook entitled Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings (2014), and the second edition has been released in 2019.

Education and Training

Medical School

MD - Duke University Medical Center, Durham, NC

Internship

General and Thoracic Surgery - Duke University Medical Center, Durham, NC

Residency

Orthopaedic Surgery - Duke University Medical Center, Durham, NC

Fellowship

Research Fellow, Orthopaedic Surgery - The Children's Hospital of Philadelphia, Philadelphia, PA

Board Certification

Orthopaedic Surgery – American Board of Orthopaedic Surgery

Titles and Academic Titles

Attending Surgeon

Professor of Orthopaedic Surgery, Perelman School of Medicine at the University of Pennsylvania

Conditions Treated

Departments and Services

Research Interests

Cerebral palsy and neuromuscular diseases
Spinal deformities
Strengthening the delivery of orthopaedic and surgical care in underdeveloped regions

Publications

Papers

2023

Daniel Badin, MD, Keith D. Baldwin, MD, MSPT, MPH, Patrick J. Cahill, MD, David A. Spiegel, MD, Suken A. Shah, MD, Burt Yaszay, MD, Peter O. Newton, MD, and Paul D. Sponseller, MD, MBA. When to Perform Fusion Short of the Pelvis in Patients with Cerebral Palsy? JB JS Open Access. 2023 Apr-Jun; 8(2): e22.00123.

2022

Meltzer-Bruhn, A.T., Landrum, M.R., Spiegel, D.A. et al. Does nutrition consultation in the year leading up to neuromuscular scoliosis surgery result in significant weight gain, or just a larger magnitude curve? Spine Deform 10, 151–158 (2022).

2021

David A. Spiegel, & Sikandar Hayat. (2021). Clubfoot and the Ponseti Method in 2021. Journal of Pakistan Orthopaedic Association, 33(04), 132–135.

Baghdadi S, Yadav P, Banskota B, et al. Outcome Measures in Clubfoot. J Foot Ankle Surg (Asia Pacific) 2021;8(3): 132–140.

Swarup I, Cazzulino A, Williams BA, Defrancesco C, Spiegel D, Shah AS. Outcomes After Surgical Fixation of Posterior Sternoclavicular Physeal Fractures and Dislocations in Children. J Pediatr Orthop. 2021 Jan;41(1):11-16.

Karkenny AJ, Magee LC, Landrum MR, Anari JB, Spiegel D, Baldwin K. The Variability of Pelvic Obliquity Measurements in Patients with Neuromuscular Scoliosis. JB JS Open Access. 2021 Mar 10;6(1):e20.00143. doi: 10.2106/JBJS.OA.20.00143. PMID: 33748643; PMCID: PMC7963507.

2020

Fournier MN, Sinclair MR, Zheng ET, Spiegel DA, Johnson AL, Shah AS, Riccio AI, Elliott ME, Bae DS, Sawyer JR. The Frequency of Mediastinal Injury in Acute Posterior Sternoclavicular Dislocations: A Multicenter Study. J Pediatr Orthop. 2020 Nov/Dec;40(10):e927-e931. doi: 10.1097/BPO.0000000000001649. PMID: 32804865.

Baldwin KD, Cahill PJ, Sponseller PD, Abel MF, Spiegel DA, Flynn JM, Pahys JM; Harms Study Group Investigators. BMI change following spinal fusion for neuromuscular scoliosis surgery. Spine Deform. 2020;8:1081-1087.

Swarup I, Hughes MS, Cazzulino A, Spiegel DA, Shah AS. Open Reduction and Suture Fixation of Acute Sternoclavicular Fracture-Dislocations in Children. JBJS Essent Surg Tech. 2020;10:e19.00074.

Fournier MN, Sinclair MR, Zheng ET, Spiegel DA, Johnson AL, Shah AS, Riccio AI, Elliott ME, Bae DS, Sawyer JR. The Frequency of Mediastinal Injury in Acute Posterior Sternoclavicular Dislocations: A Multicenter Study. J Pediatr Orthop. 2020;40:e927-e931.

Al-Mahdi W, Ibrahim MM, Spiegel DA, Arkader A, Nance M, Baldwin KD. Is systemic inflammatory response syndrome relevant to pulmonary complications and mortality in multiply injured children? J Pediatr Orthop 2020;40:1-7.

Baldwin KD, Cahill PJ, Sponseller PD, Abel MF, Spiegel DA, Flynn JM, Pahys JM; Harms Study Group Investigators. BMI change following spinal fusion for neuromuscular scoliosis surgery. Spine Deform. 2020;8:1081-1087.

Baldwin KD, Stevenson K, Spiegel DA, Talwar D, Shah A. Adding value in single-event multilevel surgery (SEMLS) for cerebral palsy patients with crouch gait: A retrospective study showing value added by a second surgeon. Current Orthopaedic Practice 2020;31(4)

2019

LeBrun DG, banskota B, Banskota AK, Rajbhandary T, Baldwin KD, Spiegel DA. Socioeconomic status influences functional severity of untreated cerebral palsy in Nepal: A prospective analysis and systematic review. Clin Orthop Rel Res 2019;477:10-21.

Anari JB, Arkader A, Spiegel DA, Baldwin KD. Approaching Unusual Pediatric Distal Humerus Fracture Patterns. J Am Acad Orthop Surg. 2019;27:301-311.

2018

Banskota B, Yadav P, Rajbhandari T, Shrestha OP, Talwar D, Banskota A, Spiegel DA. Outcomes of the Ponseti Method for Untreated Clubfeet in Nepalese Patients Seen Between the Ages of One and Five Years and Followed for at Least 10 Years. J Bone Joint Surg Am. 2018;100:2004-2014.

Kolman SE, Glanzman AM, Prosser L, Spiegel DA, Baldwin KD. Factors that predict overall health and quality of life in non-ambulatory individuals with cerebral palsy. Iowa Orthop J 2018;38:147-152.

Anari J, Cahill PJ, Flynn JM, Spiegel DA, Baldwin KD. Intra-operative computed tomography guided navigation for pediatric pelvic instrumentation. World J Orthop 2018;9:185-189.

Kolman SE, Glanzman AM, Prosser L, Spiegel DA, Baldwin KD. Factors that predict overall health and quality of life in non-ambulatory individuals with cerebral palsy. Iowa Orthop J 2018;38:147-152.

DeFrancesco CJ, Miller DJ, Cahill PJ, Spiegel DA, Flynn JM, Baldwin KD. Releasing the tether: Weight normalization following corrective spinal fusion in cerebral palsy. J Orthop Surg (Hong Kong) 2018;26:2309499018782556.

Premkumar A, Ying X, Mack Hardaker W, Massawe HH, Mshahaba DJ, Mandari F, Pallangyo A, Temu R, Masenga G, Spiegel DA, Sheth NP. Access to Orthopaedic Surgical Care in Northern Tanzania: A Modelling Study. World J Surg. 2018 42:3081-3088.

Books

2022

Orthopaedic surgery in a global context. UPOJ 32, June 2022.

2020

Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Ed 2. Springer, New York, 2020.

 

2015

Gosselin RA, Mock CN, Joshipura M, Spiegel DA, Shearer DW, Zirkle LG, Coughlin RR. The challenges of orthopaedic trauma care in the developing world. In Browner BD, Jupiter JB, Krettek C, Anderson PA (Eds) Skeletal Trauma. 5th Edition, Elsevier, Philadelphia, PA, 2015. pp. 39-68.

2014

Spiegel DA, Banskota B, Banskota AK. Clubfoot in Child Health in Kushner AL, (Ed). Operation Health: Surgical care in the developing world. Johns Hopkins University Press, Baltimore, 2014.

Crawford EA, Franklin CCD, Spiegel DA, Baldwin KB. Pediatric Orthopaedics. In: S. Namdari, SG Pill, S Mehta (Eds). Orthopedic Secrets: 4th edition. Saunders, Philadelphia. Philadelphia 2014. pp. 145-219.

Spiegel DA, Nagda T, Aroojis A. Neglected fractures and dislocations in children and adolescents. Jaypee brothers Medical Publishers, Philadelphia 2014 pp. 277-291.

Spiegel DA, Bickler SW. Barriers to the delivery of orthopaedic care. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. Pp. 23-25.

Spiegel DA, Banskota B. General principles of pediatric trauma. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 247-254.

Spiegel DA, Banskota B, Wilkins KE. Management of upper extremity fractures. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 255-273.

Spiegel DA, Banskota B, Wilkins KE. Management of lower extremity fractures. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 275-290.

Spiegel DA, Banskota AK, Banskota B. Neglected septic arthritis in children. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 303-314.

Penny JN, Spiegel DA Chronic osteomyelitis in children. in Gosselin RA, Spiegel DA, Folz M (Eds).Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 315-324.

Olgun ZD, Yazici M, Spiegel DA, Awais SM, Bijukachhe B. Chronic osteomyelitis in children. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 335-353.

Aroojis A, Pirani S, Banskota B, Banskota AK, Spiegel DA. Clubfoot etiology, pathoanatomy, basic Ponseti technique, and Ponseti in older patients in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 357-368.

Sabharwal S, Schwend RM, Spiegel DA. Evaluation and treatment of angular deformities. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 385-396.

Penny JN, Ekure J, Spiegel DA, Watts HG. Injection injuries and polio. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 405-422.

Banksota B, Folz M, Gosselin RA, Spiegel DA Cerebral palsy and other neuromuscular conditions. in Gosselin RA, Spiegel DA, Folz M (Eds). Global Orthopaedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Springer, New York, 2014. pp. 423-427.

Posters and Presentations

Research Presentations
2013

Banskota B, Banskota AK, Regmi R, Shrestha OP, Rajbhandary T, Spiegel DA. The Ponseti method in Untreated Idiopathic Clubfoot Presenting between 5 and 10 years of Age. Pediatric Orthopaedic Society of North America, Toronto, CA, May 4th, 2013, and the World Congress of Surgery, Obstetrics, Trauma and Anaesthesia, Port of Spain, Trinidad and Tobago October 16th, 2013.

Garcia GH, Park MJ, Baldwin KD, Drummond DS, Spiegel DA. Do findings on postoperative radiographs result in the need for additional surgery after posterior spinal fusion? AAOS annual meeting. Chicago, IL March 21st, 2013.

Invited Presentations
2023

Healing and remodeling of pediatric fractures. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 18th, 2023.

Supracondylar humerus fractures. Complications and late presenting cases. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 18th, 2023.

Supracondylar humerus fractures with suspected arterial injury. Pink pulseless extremity. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 18th, 2023.

Lateral condyle fractures. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 18th, 2023.

Elbow dislocation. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 18th, 2023.

Femoral shaft fractures. When safe to treat in spica cast. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 19th, 2023.

Femoral shaft fractures. Indications for open reduction. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 19th, 2023.

Proximal tibia fractures: How to prevent complications. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 19th, 2023.

Tibial shaft fractures: Indications for open reduction. 5th Pediatric orthopaedic trauma course, Islamabad, Pakistan. February 19th, 2023.

Treatment of foot and ankle problems in cerebral palsy. Workshop on cerebral palsy, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, Pakistan. Feb 23rd, 2023.

Case study in cerebral palsy. Workshop on cerebral palsy, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, Pakistan. Feb 23rd, 2023.

Principle of management in cerebral palsy. Workshop on cerebral palsy, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi, Pakistan. Feb 23rd, 2023.

2022

Spinal Injuries in Children (Virtual) 1st Scientific spinal injury day, Karbala, Iraq, Jan 15th, 2022.

Orthopaedic Considerations in Aicardi-Goutieres Syndrome (Virtual) February 5th, 2022.

Assessment of the CP Child (Virtual). Gait management in cerebral palsy. Peshawar, Pakistan. Feb 12th, 2022.

Principles of Surgical Management (Virtual) Gait management in cerebral palsy. Peshawar, Pakistan. Feb 12th, 2022.

Global Surgery Philadelphia College of Osteopathic Medicine Feb 9th, 2022.

The many faces of Osteomyelitis. SPORC, Montreal, Canada, (Virtual) March 9th, 2022.

Strategies for the lower extremities. SPORC Montreal, Canada, (Virtual) March 10th, 2022.

Ponseti in walking age patients. 32nd Clubfoot Ponseti technique & developmental hip dysplasia hand on training live workshop, Rawalpindi Medical University, Rawalpindi, Pakistan. March 22nd, 2022.

Fracture shaft of femur, when to treat conservatively and indications for surgical intervention. Pediatric Orthopaedic symposium, Saidu Medical College, SWAT, Pakistan, March 30th, 2022.

Pink pulseless and pale pulseless hand with supracondylar fracture. How to manage. Pediatric Orthopaedic symposium, Saidu Medical College, SWAT, Pakistan, March 30th, 2022.

How pediatric fractures are different. Pediatric Orthopaedic symposium, Saidu Medical College, SWAT, Pakistan, March 30th, 2022.

Common errors in Ponseti method. Pediatric Orthopaedic symposium, Saidu Medical College, SWAT, Pakistan, March 30th, 2022.

Overview of Ponseti method. Pediatric Orthopaedic symposium, Saidu Medical College, SWAT, Pakistan, March 30th, 2022.

Management of Chronic Osteomyelitis. Conference on Pediatric Orthopaedic Deformities, Basrah, Iraq, May 28th, 2022.

Equinovarus foot: Clubfoot vs. CP. Conference on Pediatric Orthopaedic Deformities, Basrah, Iraq, May 28th, 2022.

The foot in cerebral palsy. Baghdad Medical City, Baghdad, Iraq, June 1st, 2022.

Decision making in Cerebral Palsy and case presentation. Baghdad Medical City, Baghdad, Iraq, June 1st, 2022.

Femur fractures. Iraq Orthopaedic Association, Baghdad, Iraq, June 2nd, 2022.

The hip in cerebral palsy. Iraq Orthopaedic Association, Baghdad, Iraq, June 2nd, 2022.

Sequelae of hip sepsis. Iraq Orthopaedic Association, Baghdad, Iraq, June 2nd, 2022.

Orthopaedics in a global context. Howard H. Steele lecture, Philadelphia Orthopaedic Society, Philadelphia, Sept 12th, 2022.

Fractures in children, University of Basrah school of Medicine, Basrah, Iraq, Oct 16th, 2022.

Lateral condyle fractures, Basrah General Hospital, Basrah, Iraq, Oct 17th, 2022.

Femur fractures in children, Basrah General Hospital, Basrah, Iraq, Oct 17th, 2022.

Foot deformities in cerebral palsy, Basrah General Hospital, Basrah, Iraq, Oct 18th, 2022.

Torsional Malalignment in cerebral palsy, Basrah General Hospital, Basrah, Iraq, Oct 18th, 2022.

Introduction to cerebral palsy, Basrah General Hospital, Basrah, Iraq, Oct 18th, 2022.

Hip problems in cerebral palsy. Basrah General Hospital, Basrah, Iraq, Oct 20th, 2022.

Management of crouched gait in cerebral palsy. Basrah General Hospital, Oct 20th, 2022.

Vascular injuries in supracondylar humerus fractures, Basrah General Hospital, Oct 20th, 2022.

Prevention, diagnosis, and treatment of postoperative infection. Course on Musculoskeletal and spinal infection. Oct 22nd, 2022, Karbala, Iraq.

Diagnosis and treatment of spinal infection. Course on Musculoskeletal and spinal infection. Oct 22nd, 2022, Karbala, Iraq.

Foot deformities in cerebral palsy. Baghdad Children’s Hospital, Baghdad, Iraq, Oct 23rd, 2022.

Torsional malalignment in cerebral palsy. Baghdad Children’s Hospital, Baghdad, Iraq, Oct 23rd, 2022.

Baghdad Children’s Hospital, Baghdad, Iraq, Oct 23rd, 2022.

Orthopaedics in a global context. TEAC Global health speakers series. Temple University, Philadelphia, Nov 13th, 2022.

Awards and Honors

2016, Walter P. Blount Humanitarian Award, Scoliosis Research Society

2014, AAOS Achievement Award

2013, Humanitarian Award, Pediatric Orthopaedic Society of North America

2009, Golden Apple Award, Health Volunteers Overseas

2006, President's Call to Service Award (4000 hours of community service), Presidents Council on Service and Civic Participation

Editorial and Academic Positions

Editorial Boards

Global Journal of Surgery
World Journal of Orthopaedic Surgery

Academic and Institutional Committees

Health Volunteers Overseas, Washington, D.C.
- Board of Directors
- Chairman of Educational Resources Committee

Alltogether Now (Boulder, CO)
- Advisory Board

Global-HELP, Seattle, WA
- Orthopaedic Board of Directors

Global Initiative for Emergency and Essential Surgical Care, World Health Organization
- Planning Committee

Miracle Feet
- Advisory Board

Leadership and Memberships

Memberships in Professional Organizations

American Academy of Orthopaedic Surgeons



Pediatric Orthopaedic Society of North America

- 2004 – present, POSNA committee on children’s orthopaedic’s in underdeveloped areas (COUR) 



Scoliosis Research Society



American Academy of Cerebral Palsy and Developmental Medicine



Association of Children’s Orthotics and Prosthetic Clinics (ACPOC)



International Society for Prosthetics and Orthotics