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Why Spinal Injury Cases Settle Higher — And Why Immediate MRI Matters
Spinal injury cases in premises liability litigation produce the highest settlement values after severe TBI and wrongful death. The primary reason early imaging matters so much: when there is a gap in time between the fall and the first MRI, property owners and their insurers argue that the disc herniation or spinal pathology is a pre-existing degenerative condition unrelated to the fall. This argument — backed by the same MRI findings that show degeneration alongside acute injury — is one of the most commonly used defenses to reduce or defeat spinal injury claims. An MRI performed within 24–48 hours of the fall documents the acute injury against a clear timeline that pins the onset to the fall event, making the pre-existing condition defense substantially harder to sustain.
Types of Spinal Injuries from Slip and Falls
Disc herniation (lumbar or cervical): the most common fall-related spinal injury; produces radiculopathy (pain, numbness, weakness) radiating into the arms or legs. Vertebral compression fracture: common in older adults with osteoporosis; the fall force collapses a vertebral body. Facet joint injury: acute joint inflammation from fall impact that can produce chronic pain and limited mobility. Spinal stenosis aggravation: a fall can exacerbate pre-existing narrowing of the spinal canal, increasing nerve compression symptoms. Spinal cord injury: the most catastrophic fall outcome — partial or complete motor and sensory deficits below the injury level, potentially resulting in permanent paraplegia or tetraplegia. Settlement ranges: disc herniation with conservative treatment $150,000–$400,000; disc herniation with surgery $300,000–$750,000; spinal cord injury with permanent deficit $1,000,000–$5,000,000+.
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