Case Study: Cervical Disc Herniation and ACDF Surgery
- LCPMD
- Mar 27
- 2 min read
Updated: Mar 31
Background: Jane Smith, a 42-year-old office manager, was rear-ended by a distracted driver while stopped at a red light. She suffered a cervical disc herniation at C5-C6, resulting in severe neck pain, radiculopathy, and numbness in her right arm. After months of conservative treatment, including physical therapy and injections, Jane underwent an anterior cervical discectomy and fusion (ACDF) to relieve her symptoms.
Challenges: The defense argued that Jane’s injury was pre-existing due to degenerative changes and that her surgery was unnecessary. They also attempted to minimize her lost earnings by suggesting she could return to work without limitations.
1. Life Care Plan
A life care planner provided a comprehensive evaluation of Jane’s medical needs, detailing the ongoing rehabilitation, pain management, and future surgical interventions. This plan demonstrated that Jane’s injury had long-term consequences requiring continuous medical care.
2. Present Value Assessment of Life Care Plan
An economist assessed the present value of Jane’s future medical expenses to ensure her compensation accounted for the full financial burden over time. This analysis prevented the defense from undervaluing her future care costs.
3. Vocational Loss of Earnings
A vocational expert analyzed Jane’s ability to perform her job post-surgery. Due to her chronic pain and functional limitations, the expert determined that she could not return to full-time work in her prior capacity and faced reduced job prospects, justifying a claim for diminished earning capacity.
4. Present Value Assessment of Loss of Earnings
An economist quantified Jane’s lost wages and future earnings potential, factoring in career growth and inflation. This reinforced the need for a substantial financial award to compensate for her reduced work capacity.
5. Medical Bill Reasonableness of Charges Analysis
A certified life care planner reviewed Jane’s past medical expenses, ensuring the charges were reasonable and customary. This analysis countered defense claims that her medical costs were inflated or unnecessary.
Outcome: With damages valuation expert-driven evidence, Jane’s legal team presented a compelling case. The jury awarded a significant settlement–establishing medical expenses, lost earnings, and pain and suffering, ensuring Jane had the financial support necessary for her recovery and future well-being.
Conclusion: For injury attorneys, leveraging life care plans, economic assessments, and vocational evaluations is crucial in cervical spine injury cases. By presenting clear and expert-backed evidence, attorneys can effectively counter defense tactics and achieve a just outcome for their clients.