Rochel v. Terrebonne Parish School Bd.
This text of 637 So. 2d 753 (Rochel v. Terrebonne Parish School Bd.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
Johnny R. ROCHEL and Phyllis Rochel
v.
TERREBONNE PARISH SCHOOL BOARD, Johnny C. Storz, Jr. and Pelican State Mutual Insurance Co. and Allstate Insurance Co.
Court of Appeal of Louisiana, First Circuit.
*755 Jerry L. Hermann, Houma, for plaintiffs-appellees Johnny R. and Phyllis Rochel.
Sidney W. Degan, III, Foster P. Nash, III, John F. Deas, Houma, for defendants-appellants Terrebonne Parish School Board, Johnny Storz & LIGA.
Kenneth Givens, Houma, for defendant-appellant Allstate Ins. Co.
Before LOTTINGER, C.J., and CRAIN and LeBLANC, JJ.
CRAIN, Judge.
The issues for review in this personal injury action are quantum and the liability of the Louisiana Insurance Guaranty Association (LIGA) for interest and court costs incurred before and after insolvency of the insurer. Liability was stipulated at trial.
Johnny R. Rochel was injured in a rearend collision on February 15, 1991. He was examined by Dr. Christopher E. Cenac, an orthopedist, on February 20, 1991. He presented at Dr. Cenac's office complaining of neck and back pain and of pain radiating into the left hip and leg. Dr. Cenac examined Rochel and ordered x-ray studies of the lumbar and cervical spine. Based on the examination and x-ray results, Dr. Cenac noted the presence of degenerative disc disease and spondylosis of the cervical and lumbosacral spine; degenerative spondylolisthesis at L5-S1; evidence of mechanical dysfunction with limitation of motion; muscle spasm; aggravation of symptoms with extension of the neck and back; and normal neurological function.
Despite a few months of conservative treatment Mr. Rochel's pain continued. Dr. Cenac ordered MRI studies of the neck and lower back and contrast enhanced cervical and lumbar myelography. The cervical MRI revealed a large central disc rupture between levels C5 and C6; a disc protrusion between C6 and C7 with other levels of cervical disc protrusion including 3-4 and 4-5 above the two levels of disc herniation; and foramina stenosis. "Foramina stenosis" was defined by Dr. Cenac as pressure upon the nerve root as it exits the spine. The lumbar MRI confirmed the spondylolisthesis defect at L5-S1; degeneration of the discs between L2, L3, L4, L5 and the sacrum; and disc protrusions at L4 and L5 with nerve root impingement and spinal cord compression. The contrast enhanced cervical and lumbar myelography confirmed the above enumerated findings in addition to cervical spondylosis and disc herniation at C5-6 and acquired spinal stenosis at C6-7. Mr. Rochel underwent a cervical disc excision and fusion at C5-6 on May 30, 1991.
Dr. Cenac concluded, and it is uncontested, that the spondylosis, spondylolisthesis, spinal stenosis and degenerative disc disease were conditions which pre-existed the accident. However, the accident aggravated the condition causing it to become symptomatic to the point that surgery was required to alleviate the condition. Further, the pre-existing condition caused Mr. Rochel to be more susceptible to back injury. It is further uncontested that the results of the surgery were excellent to very good. Mr. Rochel stated he suffers no cervical pain since the surgery. Dr. Cenac stated that although the results of the surgery were very good, after a fusion of a motion segment of the spine such as the fusion performed at C5-6
"that particular level becomes immobile or fused and tends to accelerate the degenerative processes above and below the operative site such that it is possible he could develop some accelerated changes of arthritic degeneration at those levels above and below. I can't tell you, however, that he will specifically accelerate those changes, I can't tell you if those changes are going to require surgical intervention or not, nor can I tell you at what time. But I have to tell you that it is a well known fact that he can have and should expect some accelerated degenerative changes above and below the fusion site. More probably than not. I would not expect it to be a surgical lesion. And that's based upon medical fact or knowledge.
. . . .
[I]t doesn't have anything to do with his symptomatology. I know that if I fuse C5-6 and you've already got arthritis above and below, I know it's going to get worse because 5-6 isn't moving. But I *756 can't tell you it's going to get so bad he's got to have surgery. And if you ask me if he has to have surgery when would that be, I can't tell you that either. But I have to tell you that I know it will accelerate it. To what extent, I can't tell you."
The anatomical impairment rating assigned to Rochel relating to the cervical condition is 10% to 15% of the whole body. The restrictions placed on him for future work in reference to the cervical spine are no lifting of weights in excess of 30 to 35 pounds; no overhead physical activity; and no repetitive stooping, squatting, twisting, kneeling, bending, climbing or working in unprotected heights.
At time of trial Mr. Rochel continued to experience low back symptoms. Dr. Cenac stated that Mr. Rochel is a candidate for surgery of the lumbar spine, i.e., a decompress sieve procedure along with bone grafting and fusion at the L4, L5 level and the sacrum. The indicators for these procedures are: documented pathology, persistent radicular complaints, motor and/or sensory deficits, numbness, weakness in the legs, inability to function without requiring controlled medications, and interference with activities of daily living because of pain. He stated that Mr. Rochel has experienced the majority of these indicators. The reason Dr. Cenac did not recommend lumbar surgery any earlier was that surgical treatment of the low back is more extensive with less successful results than surgery of the cervical spine.
He further stated that should Mr. Rochel choose to not have the lumbar surgery the anatomical impairment rating of the whole body would be 10% to 15% (in addition to that assigned for the cervical spine). Should he choose to undergo lumbar surgery, the resulting anatomical impairment rating of the whole body following such surgery would be 25% to 30% (in addition to that assigned for the cervical spine). The work restrictions applicable to Mr. Rochel relative to the lumbar condition either with or without surgery are: no lifting of objects weighing greater than 20 to 25 pounds and no prolonged sitting or standing without intermittent periods of rest. Dr. Cenac added that as a result of his condition, Mr. Rochel will have to be employed in light or sedentary occupations.
Dr. Cenac was queried regarding whether the pre-existing condition alone, without intervention of the accident, would have eventually deteriorated to the point where surgery would have been required to alleviate the condition. Dr. Cenac stated that the presence of the pre-existing condition
"does not mean it will develop to an extent which will require surgery. And there is no corollary.... [W]e treat the patients and not the x-rays.... So we don't operate on how bad the x-rays look, we operate on the symptoms of the patient. And just because you've got it that doesn't mean you have to have surgery and vice versa."
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637 So. 2d 753, 1994 WL 195656, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rochel-v-terrebonne-parish-school-bd-lactapp-1994.