David A. Spiegel, MD 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: Main Campus; Specialty Care & Surgery Center, King of Prussia Appointments and Referrals: 1-800-TRY-CHOP (1-800-879-2467) Background Dr. Spiegel specializes in neuromuscular diseases, trauma, and scoliosis and is an associate professor of Orthopaedic Surgery at the University of Pennsylvania School of Medicine. 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. He has served as an Honorary Consultant in Orthopaedics and Rehabilitation at the Hospital & Rehabilitation Centre for Disabled Children in Banepa, Nepal, for nearly 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 currently serves on the International Committee of the American Academy of Orthopaedic Surgeons and is director of their international scholars program. Dr. Spiegel has received the President's Call to Service Award (2006) by the President’s Council on Service and Civic Participation, for 4000 hours of community service, and the Golden Apple Award by Health Volunteers Overseas (2009). He received the Humanitarian Award from both the Pediatric Orthopaedic Society of North America (2013) and the Scoliosis Research Society (2016), and also an AAOS achievement award in 2014. He has served as a consultant for the World Health Organization 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 250 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). Education and Training Medical SchoolMD - Duke University Medical Center, Durham, NC InternshipGeneral and Thoracic Surgery - Duke University Medical Center, Durham, NC ResidencyOrthopaedic Surgery - Duke University Medical Center, Durham, NC FellowshipResearch Fellow, Orthopaedic Surgery - The Children's Hospital of Philadelphia, Philadelphia, PA Board CertificationAmerican Board of Orthopaedic Surgery (ABOS) Titles and Academic Titles Attending SurgeonAssociate Professor of Orthopaedic Surgery, Perelman School of Medicine at the University of Pennsylvania Conditions Treated Congenital Scoliosis Early-onset Scoliosis Neuromuscular Scoliosis Idiopathic Scoliosis Thoracic Insufficiency Syndrome Developmental Dysplasia of the Hip (DDH) Cerebral Palsy Hip Disorders Kyphosis C1 Atlas Spine Injury C2 Axis Spine Injury Lower Cervical Spine Injuries: C3-C7 22q11.2 Deletion and Duplication Syndromes Diastrophic Dysplasia Trisomy 21 (Down Syndrome) Goldenhar Syndrome Klippel-Feil SyndromeKniest DysplasiaLarsen SyndromeMorquio SyndromePseudoachondroplasiaSpina Bifida Causes, Symptoms and TreatmentSpondyloepiphyseal Dysplasia CongenitaSprains and Strains in ChildrenBack Pain in Children and AdolescentsDislocationsGrowth Plate InjuriesOveruse InjuriesStress FracturesCerebral Palsy Gait DisordersCerebral Palsy Spinal DisordersCerebral Palsy Foot DisordersSpasticity Departments and Services Division of Orthopaedics Neuromuscular Program Cerebral Palsy ProgramSpine ProgramOrthopaedic Trauma ProgramGlobal Health Center Research Interests Cerebral palsy and neuromuscular diseases Spinal deformities Strengthening the delivery of orthopaedic and surgical care in underdeveloped regions Publications Papers2017 Mistovich RJ, Jacobs LJ, Campbell RM, Spiegel DA, Flynn JM, Baldwin KD. Infection control in pediatric spinal deformity surgery: A systematic and critical analysis review. JBJS Rev. 2017;5(5):e3. 2016 Shirley ED, Sabharwal S, Schwend RM, Cabral C, Spiegel D. Addressing the Global Disparities in the Delivery of Pediatric Orthopaedic Services:Opportunities for COUR and POSNA. J Pediatr Orthop. 2016;36:89-95. Johnson R, Friedman J, Spiegel D. The Ponseti Method for Clubfoot Treatment in Low and Middle-Income Countries: A Systematic Review of Barriers and Solutions to Service Delivery. J Pediatr Orthop 2016. 2015 Banskota B, Shrestha S, Rajbhandari T, Banskota AK, Spiegel DA. A Snapshot of 1001 Children Presenting with Cerebral Palsy to a Children's Disability Hospital. J Nepal Health Res Counc. 2015;13:31-37. Kolman S, Spiegel D, Namdari S, Hosalkar H, Keenan MA, Baldwin, K. Specialty Update. What’s new in orthopaedic rehabilitation. J Bone Joint Surg [Am] 2015;97:1892-1898. Anari JB, Spiegel DA, Baldwin KD. Neuromuscular scoliosis and pelvic fixation in 2015: Where do we stand? World J Orthop. 2015;6:564-566. Spiegel DA, Misra M, Bendix P, Hagander L, Bickler SW, Saleh CO, Ekeke-Monono M, Baah-Odoom D, Caldwell A, Irons B, Amir S, Taylor R, Layne M, Hailu H, Awais SM, Price RR, Crockett S, Islam M; Health Systems Strengthening Working Group of the Global Initiative for Emergency and Essential Surgical Care. Surgical Care and Health Systems. World J Surg. 2015;39:2132-2139. Spiegel DA, Nduaguba A, Cherian MN, Monono M, Kelley ET. Deficiencies in the availability of essential musculoskeletal surgical services at 883 health facilities in 24 low- and lower-middle-income countries. World J Surg. 2015;39:1421-14 Shawar YR, Shiffman J, Spiegel DA. Generation of political priority for global surgery: a qualitative policy analysis. Lancet Glob Health. 2015;3:e487-95. Sarkissian EJ, Gans I, Gunderson MA, Myers SH, Spiegel DA, Flynn JM. Community-acquired Methicillin-resistant Staphylococcus aureus Musculoskeletal Infections: Emerging Trends Over the Past Decade. J Pediatr Orthop. 2015 e pub Mar 12. Kolman SE, Ruzbarsky JJ, Spiegel DA, Baldwin KD. Salvage Options in the Cerebral Palsy Hip: A Systematic Review. J Pediatr Orthop. 2015 e pub Apr 14. 2014 Moroz PJ, Spiegel DA. The World Health Organization's action plan on the road traffic injury pandemic: is there any action for orthopaedic trauma surgeons? J Orthop Trauma. 2014;28 Suppl 1:S11-4. Books2014 Global Orthopedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings. Gosselin, Richard A., Spiegel, David A., and Foltz, Michelle (Eds.). Springer, 2014. Print and eBook. Chapters 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. 2013 Horn BD, Spiegel DA. Bowed Legs. in Lotke P, Abboud J, and Ende J (Eds.) Lippincott’s Primary Care Orthopaedics, 2nd Ed. Lippincott Williams and Wilkins, Philadelphia, pp. 243-245, 2013. Spiegel DA, Horn BD. Intoeing. in Lotke P, Abboud J, and Ende J (Eds.) Lippincott’s Primary Care Orthopaedics, 2nd Ed. Lippincott Williams and Wilkins, Philadelphia, pp. 237-242, 2013. Spiegel DA, Horn BD. Flatfoot. in Lotke P, Abboud J, and Ende J (Eds.) Lippincott’s Primary Care Orthopaedics, 2nd Ed. Lippincott Williams and Wilkins, Philadelphia, pp. 246-248, 2013. Spiegel DA, Horn BD. Perthes Disease. in Lotke P, Abboud J, and Ende J (Eds.) Lippincott’s Primary Care Orthopaedics, 2nd Ed. Lippincott Williams and Wilkins, Philadelphia, pp. 249-252, 2013. Spiegel DA, Horn BD. Slipped capital Femoral Epiphysis. in Lotke P, Abboud J, and Ende J (Eds.) Lippincott’s Primary Care Orthopaedics, 2nd Ed. Lippincott Williams and Wilkins, Philadelphia, pp. 253-257, 2013. Horn BD, Spiegel DA. Septic arthritis of the hip. in Lotke P, Abboud J, and Ende J (Eds.) Lippincott’s Primary Care Orthopaedics, 2nd Ed. Lippincott Williams and Wilkins, Philadelphia, pp. 258-262, 2013. 2011 Chan G, Spiegel DS, Drummond DS. Surgical treatment of flaccid neuromuscular scoliosis. In: Bridwell KH, editor. Textbook of Operative Spine Surgery. Philadelphia: Lippincott, Williams & Wilkins; 2011. Spiegel D, Dormans JP. The spine. In: Kliegman RM, Behrman KE, Jensen HB et al, editors. Nelson's textbook of pediatrics. 19th ed. Philadelphia: Elsevier Mosby; 2011. Spiegel D, Dormans JP. The neck. In: Kliegman RM, Behrman KE, Jensen HB et al, editors. Nelson's textbook of pediatrics. 19th ed. Philadelphia: Elsevier Mosby; 2011. p. 1626-32. 2010 Shrestha OP, Spiegel DA, McCarthy J. Triple arthrodesis. In: Wiesel SW, editor. Operative techniques in orthopaedic surgery. Philadelphia: Lippincott,Williams and Wilkins; 2010. p.1600-07. McCarthy J, Spiegel DA, Shrestha OP. Lengthening of the gastrocnemius fascia. In: Wiesel SW, editor. Operative techniques in orthopaedic surgery. Philadelphia: Lippincott,Williams and Wilkins; 2010. p.1334-38. Spiegel DA, Gosselin RA, Kushner AL, Bickler SW. Population based surgery in low and middle income countries? In: International Hospital Federation Hospital and Healthcare Innovation Book. 2009/2010. p.112-15. Spiegel DA, Shrestha OP, McCarthy J. Split posterior tibial tendon transfer. In: Wiesel SW, editor. Operative techniques in orthopaedic surgery. Philadelphia: Lippincott,Williams and Wilkins; 2010. p. 1626-32. Posters and PresentationsResearch 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 2016 Spiegel DA. Surgery and Global Public Health. Johns Hospkins University School of Public Health, April 4, 2016. Spiegel DA. The many faces of osteomyelitis. 29th Annual Sainte-Justine Pediatric Orthopaedic Review Course, Montreal, Canada, March 10, 2016. Spiegel DA. The missed or mistreated fracture: Guidelines for management. 29th Ste Justine Pediatric Board Review Course, Montreal, Canada, March 9, 2016. Spiegel DA. Sequelae of septic arthritis of the hip in children. Basrah general Hospital. Feb 6, 2016. Spiegel DA. Technical differences in treatment of AIS, neuromuscular, syndromic, and congenital scoliosis. AO Spine Principles Course, Basrah, Iraq, February 4, 2016. Spiegel DA. Prevention and management of infection following spinal deformity surgery. AO Spine Principles Course, Basrah, Iraq, February 4, 2016. Spiegel DA. Ponseti method for clubfoot treatment. Basrah General Hospital, Basrah, Iraq, January 30, 2016. Spiegel DA. Management of cerebral palsy. Basrah general Hospital, Basrah, Iraq, January 30, 2016. 2015 Spiegel DA. Chronic osteomyelitis: When to operate. 12th Annual International Pediatric Orthopaedic Symposium, Orlando, FL, December 11, 2015. Spiegel DA. Triple arthrodesis in the neuromuscular foot. 12th Annual International Pediatric Orthopaedic Symposium, Orlando, FL, December 11, 2015. Spiegel DA. Surgery for the sagittal plane: Knee. 12th Annual International Pediatric Orthopaedic Symposium, Orlando, FL, December 12, 2015. Spiegel DA. Breakout session. Challenges in international orthopaedics. 12th Annual International Pediatric Orthopaedic Symposium, Orlando, FL, December 12, 2015. Spiegel DA. Redefining orthopaedics in a global context. Mimi Covert Memorial Visiting Professor Southern Illinois University, September 21, 2015. Spiegel DA. Management of crouch gait in cerebral palsy. Mimi Covert Memorial Visiting Professor Southern Illinois University, September 21, 2015. Spiegel DA. Sequelae of musculoskeletal sepsis. Mimi Covert Memorial Visiting Professor, Southern Illinois University, September 21, 2015. Spiegel DA. Treatment of clubfoot in low resource settings. Southern Illinois University, September 21, 2015. Spiegel DA. Pediatrics. AAOS/OO Workshop:Teach/Travel/Learn, Washington, DC, June 13, 2015 Spiegel DA. Why we see what we see. AAOS/OO Workshop:Teach/Travel/Learn, Washington, DC, June 12,2015 Spiegel DA. Introduction. AAOS Instructional course 215 on Opportunities for American Orthopaedists in the Developing World: Home and abroad. AAOS annual meeting, March 24, 2015. Spiegel DA. The many faces of osteomyelitis. 28th Annual Sainte-Justine Pediatric Orthopaedic Review Course, Montreal, Canada, March 12, 2015. Spiegel DA. The missed or mistreated fracture: Guidelines for management. 28th Annual Sainte-Justine Pediatric Orthopaedic Review Course, Montreal, Canada, March 11, 2015. Spiegel DA. Ponseti manipulation technique. Annual Ponseti Workshop, Banepa, Nepal, Jan 14, 2015 Spiegel DA. Recognition and management of relapses and complex clubfoot. Annual Ponseti Workshop, Banepa, Nepal, Jan 14, 2015 Spiegel DA. Ponseti in older children. Annual Ponseti Workshop, Banepa, Nepal, Jan 14, 2015 2014 Spiegel DA. Some thoughts on pediatric orthopaedics. Continuous medical education in pediatric orthopaedics. Mayo Hospital, Lahore, Pakistan, October 16, 2014. Spiegel DA. Update on clubfoot. Continuous medical education in pediatric orthopaedics. Mayo Hospital, Lahore, Pakistan, October 16, 2014. Spiegel DA. Case studies in pediatric musculoskeletal trauma. Continuous medical education in pediatric orthopaedics. Mayo Hospital, Lahore, Pakistan, October 16, 2014. Spiegel DA. Case studies in pediatric musculoskeletal trauma. Continuous medical education in pediatric orthopaedics. Mayo Hospital, Lahore, Pakistan, October 15, 2014. Spiegel DA. Management of cerebral palsy. Continuous medical education in pediatric orthopaedics. Mayo Hospital, Lahore, Pakistan, October 15, 2014. Spiegel DA. Introduction. AAOS Opportunities for American orthopaedists in the developing world: Home and Abroad. AAOS ICL, New Orleans, LA, March 12, 2014. Spiegel DA. The missed or mistreated fracture: Guidelines for management. 27th Ste Justine Pediatric Board Review Course, Montreal, Canada, March 5, 2014. Spiegel DA. Update on the management of femoral fractures. 27th Ste Justine Pediatric Board Review Course, Montreal, Canada, March 5, 2014. Spiegel DA. Strategies for the treatment of the lower extremities in the ambulatory CP patient. 27th Ste Justine Pediatric Board Review Course, Montreal, Canada, March 6, 2014. Spiegel DA. Update on clubfoot treatment. 27th Ste Justine Pediatric Board Review Course, Montreal, Canada, March 6, 2014. Spiegel DA. The many faces of osteomyelitis. 27th Ste Justine Pediatric Board Review Course, Montreal, Canada, March 7, 2014. Spiegel DA. Short case presentations. Two-day conference on how to pass the exam. Basrah, Iraq, February 10, 1014. Spiegel DA. How to examine the student. Two-day conference on how to pass the exam. Basrah, Iraq, February 9, 1014. Spiegel DA. Why you should go in to pediatric orthopaedics. University of Basrah School of Medicine, February 9, 2014, Basrah, Iraq. Spiegel DA. Introduction to pediatric musculoskeletal trauma. University of Basrah School of Medicine, February 6, 2014, Basrah, Iraq. Spiegel DA. Lower extremity procedures in cerebral palsy. February 6, 2014Basrah General Hospital, Basrah, Iraq. Spiegel DA. Management of cerebral palsy. February 5, 2014. Basrah General Hospital, Basrah, Iraq. Spiegel DA. Surgery, health systems, and health systems strengthening. The LANCET commission on global surgery. Boston, MA; January 17, 2014. 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 Patient Experience Ratings About the Patient Experience Rating System The Patient Experience Rating is an average of all responses to the care provider related questions shown below from our nationally-recognized Press Ganey Patient Satisfaction Survey. Patients that are treated in outpatient or hospital environments may receive different surveys, and the volume of responses will vary by question. Responses are measured on a scale of 1 to 5 with 5 being the best score. The comments are submitted by patients and families and reflect their views and opinions. The comments are not endorsed by and do not reflect the views of Children’s Hospital of Philadelphia.