Research Topics
| D L SkaggsSummaryAffiliation: University of Southern California Country: USA Publications
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Publications
Variability in gait analysis interpretationD L Skaggs
Children s Hospital Los Angeles, California 90027, USA
J Pediatr Orthop 20:759-64. 2000..The interobserver variability reported here is similar to that reported for established classification systems of various orthopedic conditions...
Ten percent of patients with adolescent idiopathic scoliosis have variations in the number of thoracic or lumbar vertebraeDavid A Ibrahim
Children s Orthopaedic Center, Children s Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop 69, Los Angeles, CA 90027 E mail address for D L Skaggs
J Bone Joint Surg Am 95:828-33. 2013..The present study examined the prevalence of variations in the number of vertebrae in patients with adolescent idiopathic scoliosis...
Sacral facet fractures in elite athletesDavid L Skaggs
Children s Orthopaedic Center, Children s Hospital Los Angeles, Los Angeles, CA 90027, USA
Spine (Phila Pa 1976) 37:E514-7. 2012..Case series of elite athletes with sacral facet fractures...
Quality of evaluation and management of children requiring timely orthopaedic surgery before admission to a tertiary pediatric facilityDavid L Skaggs
Department of Orthopedic Surgery, Children s Hospital Los Angeles, Los Angeles, California, USA
J Pediatr Orthop 22:265-7. 2002..Overall, 32% of children undergoing time-sensitive orthopaedic surgery at a tertiary pediatric center had problems or delays in the medical care they received before transfer...
Weight gain following vertical expandable prosthetic titanium ribs surgery in children with thoracic insufficiency syndromeDavid L Skaggs
Children s Hospital Los Angeles, Los Angeles, CA 90027, USA
Spine (Phila Pa 1976) 34:2530-3. 2009..Retrospective review of patients from a multicenter database...
Lateral-entry pin fixation in the management of supracondylar fractures in childrenDavid L Skaggs
Division of Orthopaedic Surgery, Childrens Hospital Los Angeles, Mailstop 69, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA
J Bone Joint Surg Am 86:702-7. 2004..Previous clinical studies have suggested that lateral pins provide sufficient fixation of unstable supracondylar fractures. However, these studies were retrospective and subject to patient-selection bias...
Insurance status and delay in orthotic treatment in childrenDavid L Skaggs
Children s Orthopaedic Center, Children s Hospital Los Angeles and University of Southern California, Keck School of Medicine, Los Angeles, CA 90027, USA
J Pediatr Orthop 27:94-7. 2007..To determine if the type of health insurance is associated with a delay in children obtaining orthoses...
Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placementD L Skaggs
Division of Orthopedic Surgery, Childrens Hospital, Los Angeles, California 90027, USA
J Bone Joint Surg Am 83:735-40. 2001..It has not been proved that the added stability of a medial pin is clinically necessary since, in young children, pin fixation is always augmented with immobilization in a splint or cast...
Use of a noninvasive halo in childrenDavid L Skaggs
Division of Orthopedics, Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA
Spine (Phila Pa 1976) 33:1650-4. 2008..Retrospective review of clinical experience in children using a new noninvasive halo...
How safe is the operative treatment of Gartland type 2 supracondylar humerus fractures in children?David L Skaggs
Children s Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA
J Pediatr Orthop 28:139-41. 2008..The purpose of this article was to examine the safety and efficacy of closed reduction and pinning of type 2 supracondylar humerus fractures in children...
Access to orthopaedic care for children with medicaid versus private insurance: results of a national surveyDavid L Skaggs
Division of Orthopaedic Surgery, Children s Hospital Los Angeles, CA 90027, and College of Physicians and Surgeons, Columbia University, New York, NY, USA
J Pediatr Orthop 26:400-4. 2006..The second objective was to determine if state variations in Medicaid physician reimbursement rates correlate with access to orthopedic care...
Back pain and backpacks in school childrenDavid L Skaggs
Children s Orthopaedic Center, Children s Hospital Los Angeles, and the Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA
J Pediatr Orthop 26:358-63. 2006..The purpose of this study is to see what factors influence the prevalence of back pain in middle school children, with particular attention to the weight of children's backpacks and the availability of school lockers...
Differentiation between bone infarction and acute osteomyelitis in children with sickle-cell disease with use of sequential radionuclide bone-marrow and bone scansD L Skaggs
Department of Orthopaedic Surgery, Children s Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA
J Bone Joint Surg Am 83:1810-3. 2001..The differentiation of bone infarction from acute osteomyelitis in patients with sickle-cell disease is challenging, as the clinical presentations of the two conditions are similar and imaging and laboratory studies are of limited value...
Complications of posterior iliac crest bone grafting in spine surgery in childrenD L Skaggs
Department of Orthopaedic Surgery, Children s Hospital of Los Angeles, Los Angeles, California 90027, USA
Spine (Phila Pa 1976) 25:2400-2. 2000..The perioperative and postoperative complications associated with harvesting posterior iliac crest bone graft in children were reviewed. A retrospective study was performed and a questionnaire interview conducted...
Access to orthopedic care for children with medicaid versus private insurance in CaliforniaD L Skaggs
Childrens Hospital Los Angeles, University of Southern California, Keck School of Medicine, Los Angeles, California, USA
Pediatrics 107:1405-8. 2001..To compare the availability of timely orthopedic care to a child with a fractured arm insured by Medi-Cal (California state Medicaid) and by private insurance...
Differential effect of race on the axial and appendicular skeletons of childrenV Gilsanz
Department of Radiology, Childrens Hospital Los Angeles, California 90027, USA
J Clin Endocrinol Metab 83:1420-7. 1998..75% and 5.7% higher, respectively, in black children. Such significant variations may contribute to the racial differences in the prevalence of osteoporosis between black and white adults...
Treatment of multidirectionally unstable supracondylar humeral fractures in children. A modified Gartland type-IV fractureK K Leitch
Childrens Hospital Los Angeles, 4650 Sunset Boulevard, 69, Los Angeles, CA 90027, USA
J Bone Joint Surg Am 88:980-5. 2006..These fractures can be treated successfully with a new technique of closed reduction and percutaneous pinning, thus avoiding open reduction...
Respiratory failure in postpneumonectomy syndrome complicated by thoracic lordoscoliosis: treatment with prosthetic implants, partial vertebrectomies, and spinal fusionM J Codsi
Division of Orthopaedics, Childrens Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles California 90020, USA
Spine (Phila Pa 1976) 25:2531-6. 2000..Thoracic lordoscoliosis can complicate the syndrome and may be corrected to help restore normal pulmonary function...
Health-related quality of life in children with thoracic insufficiency syndromeMichael G Vitale
Division of Pediatric Orthopaedics, Department of Orthopaedic Surgery, College of Physicians and Surgeons, Columbia University, 600 West 168th Street, New York, NY 10032, USA
J Pediatr Orthop 28:239-43. 2008..The purpose of this study was to determine quality of life (QOL) of children with TIS and its impact on their parents before and after implantation of the VEPTR and also compare these results to those of healthy children...
Developmental dysplasia of the hip from six months to four years of ageM G Vitale
Orthopaedic Surgery, Children's Hospital of New York, New York-Presbyterian Medical Center, New York, NY, USA
J Am Acad Orthop Surg 9:401-11. 2001..Pelvic osteotomy continues to gain favor for the treatment of selected patients over 18 months of age...
Prediction of postoperative gait velocity in cerebral palsyR M Kay
Childrens Hospital Los Angeles, 4650 Sunset Boulevard, M/S #69, Los Angeles, CA 90027, USA
J Pediatr Orthop B 10:275-8. 2001..These results suggests that gait velocity cannot be reliably increased in all children with cerebral palsy undergoing surgery, especially those older than age 12...
Prior treatment of fracture patients in a tertiary pediatric emergency department: informal referrals from other emergency departmentsTishya A L Wren
Childrens Orthopaedic Center, Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
J Pediatr Orthop 29:137-41. 2009....
Distal humerus osteotomy for supracondylar fracture malunion in children: a study of perioperative complicationsJennifer M Weiss
Childrens Orthopaedic Center, Childrens Hospital Los Angeles, CA 90027, USA
Am J Orthop (Belle Mead NJ) 39:22-5. 2010..Furthermore, there are fewer complications of the surgery when lateral-entry pins are used to fix the osteotomy compared with other fixation methods...
Causes of intoeing gait in children with cerebral palsySusan A Rethlefsen
Childrens Orthopaedic Center, Childrens Hospital Los Angeles, 4650 Sunset Boulevard, M S 69, Los Angeles, CA 90027, USA
J Bone Joint Surg Am 88:2175-80. 2006..The purpose of this study was to evaluate the prevalence of various causes of intoeing in children with cerebral palsy and to determine whether the causes differ between children with bilateral and those with unilateral involvement...
Access to urologic care for children in California: Medicaid versus private insuranceAndrew H Hwang
Division of Urology, Children s Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California, USA
Urology 66:170-3. 2005..Medi-Cal (California State Medicaid) is a joint state and federal health insurance program that plays a significant role in providing healthcare coverage to low-income children...
Risk factors for vascular repair and compartment syndrome in the pulseless supracondylar humerus fracture in childrenPaul D Choi
Childrens Orthopaedic Center, Keck School of Medicine, University of Southern California, 4650 Sunset Boulevard, MS 69, Los Angeles, CA 90027, USA
J Pediatr Orthop 30:50-6. 2010....
Complications of ketorolac use in children undergoing operative fracture careRobert M Kay
Childrens Orthopaedic Center, Children s Hospital Los Angeles, Los Angeles, CA 90027, USA
J Pediatr Orthop 30:655-8. 2010....
Complications with flexible nailing of femur fractures more than double with child obesity and weight >50 kgJennifer M Weiss
Children s Orthopaedic Center, Children s Hospital Los Angeles, 4650 Sunset Boulevard, Mailstop 69, Los Angeles, CA, 90027, USA
J Child Orthop 3:53-8. 2009..The purpose of this study is to examine whether obesity, defined as body mass index (BMI) > 95th percentile, and/or simple weight correlates with an increased rate of complications...
Comparison of proximal and distal rotational femoral osteotomy in children with cerebral palsyRobert M Kay
Pediatric Orthopaedics, Children s Hospital Los Angeles, California 90027, USA
J Pediatr Orthop 23:150-4. 2003..Though variable, the mean change in dynamic and static measurements postoperatively was approximately 40% less than the amount of derotation reported at surgery...
A new classification system predictive of complications in surgically treated pediatric humeral lateral condyle fracturesJennifer M Weiss
Children s Orthopaedic Center, Children s Hospital Los Angeles, Los Angeles, CA 90027, USA
J Pediatr Orthop 29:602-5. 2009..The most commonly cited classification system for lateral condyle fractures (Milch) has not been shown to be predictive of outcome or recommend treatment...
Efficacy of intraoperative neurologic monitoring in surgery involving a vertical expandable prosthetic titanium rib for early-onset spinal deformityDavid L Skaggs
Childrens Orthopaedic Center, Childrens Hospital Los Angeles, Los Angeles, CA 90027, USA
J Bone Joint Surg Am 91:1657-63. 2009..The purpose of this study was to evaluate the risk of neurologic injury during surgical procedures involving use of the VEPTR and to determine the efficacy of intraoperative spinal cord neuromonitoring...
Changes in pelvic rotation after soft tissue and bony surgery in ambulatory children with cerebral palsyRobert M Kay
Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, California 90027, USA
J Pediatr Orthop 24:278-82. 2004....
Reliability of a modified Gartland classification of supracondylar humerus fracturesK L Barton
Department of Radiology, Children's Hospital, Los Angeles, California 90027, USA
J Pediatr Orthop 21:27-30. 2001..However, 10% of the time, a second reading by the same observer is different. This makes treatment recommendations based only on fracture type imprecise...
The effect of femoral rotation on the projected femoral neck-shaft angleR M Kay
Pediatric Orthopaedics, Children s Hospital Los Angeles, California 90027, USA
J Pediatr Orthop 20:736-9. 2000..For all patient populations, internally rotating the femur will allow for determination of the femoral NSA to within 10 degrees ...
Loss of pin fixation in displaced supracondylar humeral fractures in children: causes and preventionWudbhav N Sankar
Division of Orthopaedic Surgery, The Children s Hospital of Philadelphia, Wood Building, 2nd Floor, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA
J Bone Joint Surg Am 89:713-7. 2007..The purposes of the present study were to identify the causes leading to loss of fixation after pin fixation and to present methods for prevention...
The Dega osteotomy: a versatile osteotomy in the treatment of developmental and neuromuscular hip pathologyJudson W Karlen
Children s Hospital Los Angeles, Los Angeles, CA 90027, USA
J Pediatr Orthop 29:676-82. 2009..The purpose of this study is to evaluate the use of the Dega osteotomy in the treatment of hip pathology resulting from both developmental dysplasia (DDH) and neuromuscular disease (NM)...
Pelvic fixation of growing rods: comparison of constructsPaul D Sponseller
Department of Orthopedic Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287 0881, USA
Spine (Phila Pa 1976) 34:1706-10. 2009..Retrospective review...
The contribution of hospital volume, payer status, and other factors on the surgical outcomes of scoliosis patients: a review of 3,606 cases in the State of CaliforniaMark A Vitale
International Center for Health Outcomes and Innovation Research InCHOIR and the Mailman School of Public Health, Columbia University, New York, NY, USA
J Pediatr Orthop 25:393-9. 2005..The current data suggest that being insured with Medicaid in the state of California is associated with poorer outcomes after scoliosis surgery. Additionally, this study documents a volume/outcomes relationship in scoliosis surgery...
Results of tibial rotational osteotomy without concomitant fibular osteotomy in children with cerebral palsyDeirdre D Ryan
Children's Hospital, Los Angeles, California 90027, USA
J Pediatr Orthop 25:84-8. 2005..This study shows that distal tibial osteotomy alone (without concomitant fibular osteotomy) is an effective and safe procedure for correcting and maintaining correction of tibial torsion in patients with cerebral palsy...
Increased body weight and decreased radial cross-sectional dimensions in girls with forearm fracturesD L Skaggs
Division of Orthopedic Surgery, Children's Hospital Los Angeles, California 90027, USA
J Bone Miner Res 16:1337-42. 2001..The smaller cross-sectional area confers a biomechanical disadvantage that, coupled with the greater body weight, increases the vulnerability to fracture after a fall...
Incidence of occult fracture in children with acute ankle injuriesWudbhav N Sankar
Children s Orthopaedic Center, Children s Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA
J Pediatr Orthop 28:500-1. 2008..The purpose of our study was to determine the incidence of occult fracture in these patients and the risk of fracture displacement...
Supracondylar humeral fractures in childrenReza Omid
Childrens Orthopaedic Center, Childrens Hospital Los Angeles, 4650 Sunset Boulevard, MS 69, Los Angeles, CA 90027, USA
J Bone Joint Surg Am 90:1121-32. 2008..Lateral entry pins have been shown, in biomechanical and clinical studies, to be as stable as cross pinning if they are well spaced at the fracture line, and they are not associated with the risk of iatrogenic ulnar nerve injury...
Complications of halo use in childrenNoppachart Limpaphayom
Division of Orthopedic Surgery, Children s Hospital Los Angeles, Los Angeles, California 90027, USA
Spine (Phila Pa 1976) 34:779-84. 2009..Retrospective review...
Elbow aspiration and arthrogram: an alternative methodC W Tang
Department of Orthopaedic Surgery, University of Southern California, Los Angeles, USA
Am J Orthop 30:256. 2001..We describe a posterior elbow-aspiration approach that is safe, easy, and effective in all settings, including trauma...
Lengthening of pediatric forearm deformities using the Ilizarov technique: functional and cosmetic resultsR A Raimondo
New York Orthopaedic Hospital, Columbia Presbyterian Medical Center, New York, USA
J Hand Surg Am 24:331-8. 1999..Full restoration of arm length was not a requirement for a successful outcome and patient satisfaction with the results of the procedure was high...
Botulinum toxin as an adjunct to serial casting treatment in children with cerebral palsyRobert M Kay
Childrens Orthopaedic Center, MS #69 Children's Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA
J Bone Joint Surg Am 86:2377-84. 2004....
Comparison of the volume of scoliosis surgery between spine and pediatric orthopaedic fellowship-trained surgeons in New York and CaliforniaMark A Vitale
Columbia College of Physicians and Surgeons, Columbia University, 630 West 168th Street, Mailbox 400, New York, NY 10032, USA
J Bone Joint Surg Am 87:2687-92. 2005....
Effect of surgical delay on perioperative complications and need for open reduction in supracondylar humerus fractures in childrenNeeraj Gupta
Division of Orthopaedic Surgery, Children's Hospital of Los Angeles, Los Angeles, California 90027, USA
J Pediatr Orthop 24:245-8. 2004....
The effect of surgical delay on acute infection following 554 open fractures in childrenDavid L Skaggs
Division of Orthopedic Surgery, Childrens Hospital Los Angeles, MS# 69, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA
J Bone Joint Surg Am 87:8-12. 2005....
Neurologic risk in growing rod spine surgery in early onset scoliosis: is neuromonitoring necessary for all cases?Wudbhav N Sankar
Division of Orthopaedic Surgery, Children s Hospital Los Angeles, 4650 Sunset Boulevard 69, Los Angeles, CA, USA
Spine (Phila Pa 1976) 34:1952-5. 2009..Retrospective case series from a multicenter database...
Compartment syndrome of the thigh in an infant: a case reportPaul D Choi
Department of Orthopaedic Surgery, University of Southern California, Keck School of Medicine, Children s Hospital Los Angeles, Los Angeles, California 90027, USA
J Orthop Trauma 21:587-90. 2007..The complete recovery of muscle function, even in the presence of significant tissue damage, is noteworthy and suggests that infants have a greater physiologic ability to recover in comparison with adults...
Delayed neurologic injury due to bone graft migration into the spinal canal following scoliosis surgerySean D Early
Division of Orthopedic Surgery, Children's Hospital of Los Angeles, Calif 90027, USA
Orthopedics 26:515-6. 2003
Thoracoscopic anterior spinal release and fusion: evolution of a faster, improved approachEunice Y Huang
Division of Pediatric Surgery and Orthopedic Surgery, Childrens Hospital Los Angeles and the University of Southern California Keck School of Medicine, Los Angeles, CA 90027, USA
J Pediatr Surg 37:1732-5. 2002..Although there is a learning curve for VATS, greater experience could show an advantage in this approach to the anterior spine for the treatment of pediatric spinal deformity...
Growing rods for spinal deformity: characterizing consensus and variation in current useJustin S Yang
Department of Orthopaedic Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA
J Pediatr Orthop 30:264-70. 2010..Growing rods are a commonly used form of growth guidance for patients with early onset scoliosis, but no studies exist to characterize their use among a large group of surgeons...
Pediatric polytrauma managementRobert M Kay
University of Southern California Keck School of Medicine, Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA
J Pediatr Orthop 26:268-77. 2006..Orthopaedic care of polytrauma patients is important to facilitate early mobilization and care of these children, as well as to minimize late impairment...
Aprotinin in pediatric neuromuscular scoliosis surgeryStepan Kasimian
Children s Hospital Los Angeles, 4650 Sunset Boulevard 69, Los Angeles, CA, 90027, USA
Eur Spine J 17:1671-5. 2008..At out institution, the use of aprotinin is safe and cost effective for patients with neuromuscular scoliosis...
Orthopaedic conditions in the newbornWudbhav N Sankar
Children s Hospital Los Angeles, 4650 Sunset Boulevard, Mail Stop 69, Los Angeles, CA 90027, USA
J Am Acad Orthop Surg 17:112-22. 2009..A basic understanding of the relevant conditions will help the orthopaedist with the initial diagnosis and management of orthopaedic issues in the newborn...
Preoperative predictors of prolonged postoperative mechanical ventilation in children following scoliosis repairNanci Yuan
Division of Pediatric Pulmonology, Children s Hospital Los Angeles, CA, USA
Pediatr Pulmonol 40:414-9. 2005..01). Clearly FEV1, and possibly VC, IC, TLC, and MIP, may increase accuracy in predicting the need for prolonged postoperative MV...
The effect of scoliosis surgery on lung function in the immediate postoperative periodNanci Yuan
Division of Pediatric Pulmonology, Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Spine 30:2182-5. 2005..The postoperative decrease in PFT should be considered during preoperative prediction of postoperative risk...
Pelvic fractures in children: an exploration of practice patterns and patient outcomesMichael G Vitale
International Center for Health Outcomes and Innovation Research, College of Physicians and Surgeons, Columbia University and New York Presbyterian Hospital, New York, NY 10032, USA
J Pediatr Orthop 25:581-7. 2005..After adjusting for confounding and interaction effects between these variables, only ISS and the type of hospital were determined to be significant in predicting survival...
Open fractures in children. Principles of evaluation and managementDavid G Stewart
Children's Bone and Spine Surgery, 10001 South Eastern Avenue, Suite 407, Henderson, NV 89052, USA
J Bone Joint Surg Am 87:2784-98. 2005
Management of infection after instrumented posterior spine fusion in pediatric scoliosisChristine Ho
Department of Orthopaedics, Texas Scottish Rite Hospital for Children, Dallas, TX, USA
Spine (Phila Pa 1976) 32:2739-44. 2007..Case series retrospective review...
Less access to care for children with MedicaidDavid L Skaggs
Orthopedics 26:1184, 1186. 2003
Fracture stability after pinning of displaced supracondylar distal humerus fractures in childrenDavid L Skaggs
J Pediatr Orthop 22:697; author reply 697-8. 2002
Report on the 2002 Pediatric Orthopaedic Society of North America Traveling FellowshipKenneth J Noonan
Department of Orthopaedics and Rehabilitation, University of Wisconsin, Madison, Wisconsin, USA
J Pediatr Orthop 24:231-4. 2004..Centers were visited in Prague, Vienna, Stolzalpe, and Rome, with the trip ending in Istanbul at the European Pediatric Orthopaedic Society meeting...
Pearls and pitfalls in the evaluation of pediatric congenital and developmental disordersStephen K Storer
Division of Pediatric Orthopedic Surgery, Joe DiMaggio Children's Hospital, Hollywood, Florida, USA
Instr Course Lect 55:615-23. 2006..It is important to be aware of safe and effective approaches to specific conditions that highlight pearls and potential pitfalls of treatment...
Use of flexible intramedullary nails in pediatric femur fracturesChristine Ann Ho
Children's Orthopaedic Center, Children's Hospital Los Angeles, CA, USA
J Pediatr Orthop 26:497-504. 2006..Although the end results are favorable, complications are relatively frequent, particularly in older children...
Re: Kakushima M, Miyamoto K, Shimizu K. The effect of leg length discrepancy on spinal motion during gait: three-dimensional analysis in healthy volunteers. Spine. 2003;28:2472-2476David L Skaggs
Spine 29:1838; author reply 1838-9. 2004
