Krabacher v. Durrani

Ohio Court of Appeals·Decided August 28, 2026·No. C-250113, C-250520·Published

Opinion

IN THE COURT OF APPEALS

FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO

SHEILA KRABACHER, : APPEAL NO. C-250113 TRIAL NO. A-1601533

Plaintiff-Appellee, :

vs. : ABUBAKAR ATIQ DURRANI, M.D., :

and :

CENTER FOR ADVANCED SPINE : TECHNOLOGIES, INC., :

Defendants-Appellants., :

ERIN GREELISH, : APPEAL NO. C-250520 TRIAL NO. A-1601539

Plaintiff-Appellee, :

vs. :

JUDGMENT ENTRY

ABUBAKAR ATIQ DURRANI, M.D., :

and :

CENTER FOR ADVANCED SPINE : TECHNOLOGIES, INC., :

Defendants-Appellants.

:

Theis cause was heard upon the appeals, the record, the briefs, and arguments.

For the reasons set forth in the Opinion filed this date, the judgments of the trial court are affirmed in part and reversed in part, and the cause is remanded.

Further, the court holds that there were reasonable grounds for these appeals, allows no penalty, and orders that costs be taxed 50% to Appellants and 50% to Appellees.

The court further orders that (1) a copy of this Judgment with a copy of the Opinion attached constitutes the mandate, and (2) the mandate be sent to the trial court for execution under App.R. 27.

To the clerk: Enter upon the journal of the court on 8/28/2026. Pursuant to App.R. 30, the clerk is directed to send all parties, or their counsel if represented, a copy of the court’s judgment and note such action on the docket. By:_______________________ Administrative Judge

IN THE COURT OF APPEALS

FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO

SHEILA KRABACHER, : APPEAL NO. C-250113 TRIAL NO. A-1601533

Plaintiff-Appellee, :

vs. : ABUBAKAR ATIQ DURRANI, M.D., :

and :

CENTER FOR ADVANCED SPINE : TECHNOLOGIES, INC., :

Defendants-Appellants., :

ERIN GREELISH, : APPEAL NO. C-250520 TRIAL NO. A-1601539

Plaintiff-Appellee, :

vs. :

OPINION

ABUBAKAR ATIQ DURRANI, M.D., :

and :

CENTER FOR ADVANCED SPINE : TECHNOLOGIES, INC., :

Defendants-Appellants.

:

Civil Appeals From: Hamilton County Court of Common Pleas

Judgments Appealed From Are: Affirmed in Part, Reversed in Part, and Cause Remanded

Date of Judgment Entry on Appeal: August 28, 2026

Statman Harris, LLC, Alan J. Statman and Benjamin M. Maraan, II, for Plaintiffs- Appellees,

Taft Stettinius & Hollister LLP, Philip D. Williamson, Aaron M. Herzig, Russel S. Sayre and Elise L. Marrinan, for Defendants-Appellants.

MOORE, Judge.

{¶1} Defendants-appellants Dr. Abubakar Atiq Durrani and the Center for Advanced Spine Technologies, Inc., (“CAST”) (collectively, “Durrani”), appeal the Hamilton County Court of Common Pleas’ judgments entered in favor of plaintiffs- appellees Sheila Krabacher and Erin Greelish.1 Of Durrani’s four assignments of error, only Durrani’s argument as it relates to their entitlement to a setoff is meritorious.

I. Factual and Procedural History

{¶2} Greelish and Krabacher both initially filed claims against Durrani in Butler County, but dismissed their actions, and refilled in Hamilton County. Once in Hamilton County, the plaintiffs sought to consolidate their cases for the purpose of trial, and despite objections from Durrani, the court in its revised joint-trial schedule consolidated the cases for trial.

A. Trial Testimony

{¶3} Greelish testified that she was 34 years old when pain forced her to stop working. Greelish complained of a host of issues, including headaches, dizziness, vertigo, neck pain, pain throughout her middle and upper back, as well as pain in her left leg and numbness in both legs. Greelish had previously been diagnosed with several conditions, including Ehlers-Danlos Syndrome (“EDS”), a genetic disorder that causes the body’s muscles to become excessively relaxed, resulting in hyper flexibility. Greelish testified that during her initial consultation with Dr. Durrani, he identified that her EDS was causing issues with her cervical spine and that a surgical fusion was her only hope for relief. Greelish claimed that Dr. Durrani warned her that if she chose not to pursue surgery, and she ever fell down or was involved in any sort

1 We sua sponte consolidate these separate appeals into a single opinion and judgment.

of accident, she risked either internal decapitation2 or external decapitation, either of which could result in her death or paralysis.

{¶4} Greelish underwent two surgeries with Dr. Durrani, both procedures along her cervical spine. Neither procedure provided Greelish with lasting relief. Greelish testified that she has refrained from starting a pain-management regiment out of fear of becoming addicted, but that she remains in a great state of pain.

{¶5} Krabacher visited with Dr. Durrani complaining of intensifying pain in her neck and back. During her initial visit, Dr. Durrani diagnosed Krabacher with EDS, and noted that Krabacher was hypermobile, a conclusion that Krabacher took issue with, stating that she has never been hypermobile. Krabacher testified that Dr. Durrani warned her that her C1-C2 vertebrae were pressing against her thecal sac and that without surgical intervention, she would become paralyzed or die. Krabacher recalled that Dr. Durrani insisted that surgery was the only option, and that noninvasive care was never discussed. Ultimately, Krabacher agreed to surgery along her C1-C2 vertebrae. Both Krabacher’s CAST and UC Health informed-consent forms listed the planned procedure as a C1-C2 fusion.

{¶6} However, Dr. Durrani deviated from this procedure. Krabacher testified that when she awoke, Dr. Tayeb told her that Dr. Durrani inadvertently shattered her C1 and C2 vertebrae mid-operation. As a result, Dr. Durrani fused and installed hardware along other portions of Krabacher’s cervical spine. Krabacher complained

2 See Andrei Fernandes Jaquim, et al., Traumatic Atlanto-Occipital Dislocation – A Comprehensive Analysis of All Case Series Found in the Spinal Trauma Literature (2021), https://www.ijssurgery.com/content/ijss/15/4/724.full.pdf (accessed Aug. 11, 2026) (Traumatic atlanto-occipital dislocation is also known as internal decapitation.) [https://perma.cc/6RTH- 7MR3]; see also Graham C. Hall, et al., Atlanto-Occipital Dislocation (Mar. 18, 2015), https://pmc.ncbi.nlm.nih.gov/articles/PMC4363805/pdf/WJO-6-236.pdf (accessed Aug. 11, 2026) (Internal decapitation results from the ligaments and bony structures of the skull and cervical spine disconnecting from one another.) [https://perma.cc/S32G-9CJU].

that the hardware greatly limited her head’s mobility.

{¶7} Like Greelish, Krabacher’s pain continued following surgery. Despite this, Krabacher agreed to two more surgeries, along the L5-S1, C3-C4, and C5-C6 vertebrae. After her second surgery, Krabacher complained she could hear “grinding” and “popping” noises coming from her neck. Following her third surgery, Krabacher consulted with Dr. Husa, who stated that “there are no signs of all imaging made available to me” that Dr. Durrani’s surgeries were warranted. Krabacher then visited Dr. Greiner who removed the hardware along her cervical spine. Krabacher testified that her pain decreased following the corrective procedure.

{¶8} Plaintiffs called Dr. Stephen Bloomfield, a neurosurgeon, and Dr. Ranjiv Saini, a neuroradiologist, to testify. The plaintiffs also read Dr. Zeeshan Tayeb’s deposition testimony into the record. Dr. Bloomfield’s testimony as it relates to future medical procedures is material to this appeal. Dr. Bloomfield testified that it was reasonably likely that both plaintiffs would suffer from junctional syndrome, a condition in which segments of the back near the fusion site experience accelerated degeneration as an adverse side effect of the unnecessary surgical fusions Dr. Durrani performed. Dr. Bloomfield mentioned that the cost of the surgery would be comparable to Greelish’s C5-C6 surgery and Krabacher’s other surgeries. Greelish’s billing breakdown stated that her C5-C6 surgery cost $150,000. Krabacher’s three surgeries cost $35,953, $51,229, and $102,357.55.

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