Dean v Brown
2009 NY Slip Op 07904 [67 AD3d 1097]
November 5, 2009
Appellate Division, Third Department
As corrected through Wednesday, January 6, 2010


Melanie Dean, Appellant, v Danielle L. Brown,Respondent.

[*1]MacVean, Lewis, Sherwin & McDermott, P.C., Middletown (Paul T. McDermott ofcounsel), for appellant.

Law Office of James P. Harris, Goshen (James P. Harris of counsel), forrespondent.

Lahtinen, J. Appeal from an order of the Supreme Court (Meddaugh, J.), entered August 12,2008 in Sullivan County, which granted defendant's motion for summary judgment dismissingthe complaint.

Plaintiff was a rear seat passenger in a car owned and operated by defendant that left theroad and rolled over in an August 2003 accident. She was treated in the emergency room on theday of the accident and, thereafter, sought treatment from various healthcare providers with herproblems primarily focusing on low back pain. She subsequently commenced this action and,following disclosure, defendant moved for summary judgment asserting that plaintiff had notsuffered a serious injury within the meaning of Insurance Law § 5102 (d). Supreme Courtgranted the motion. Plaintiff appeals.

Plaintiff has not argued on appeal that defendant did not satisfy her initial burden and, thus,the issue before us is whether plaintiff submitted sufficient evidence to raise a triable issue offact (see Weller v Munson, 309 AD2d 1098, 1098-1099 [2003], lv dismissed in partand denied in part 2 NY3d 782 [2004]). Further, plaintiff has limited her serious injuryargument on appeal to the categories of permanent consequential limitation and significantlimitation of use.

"[I]n order to establish a permanent consequential limitation or a significant limitation ofuse, the medical evidence submitted by plaintiff must contain objective, quantitative evidencewith respect to diminished range of motion or a qualitative assessment comparing plaintiff's[*2]present limitations to the normal function, purpose and use ofthe affected body organ, member, function or system" (John v Engel, 2 AD3d 1027, 1029 [2003]; see Toure v AvisRent A Car Sys., 98 NY2d 345, 353 [2002]; Hildenbrand v Chin, 52 AD3d 1164, 1165 [2008]). The medicalevidence must be sufficient "to differentiate serious injuries from mild or moderate ones" (Clements v Lasher, 15 AD3d 712,713 [2005]). Proof of a herniated disc arising from an automobile accident together with anexpert's designation of a significant reduction in range of motion related to the disc injury can besufficient to raise a factual issue as to serious injury (see Pommells v Perez, 4 NY3d 566, 577 [2005]; Dooley v Davey, 21 AD3d 1242,1244 [2005]; Martin v Fitzpatrick,19 AD3d 954, 956 [2005]; Durhamv New York E. Travel, 2 AD3d 1113, 1114-1115 [2003]). However, even in thepresence of proof of a herniated disc and reduced range of motion, summary judgment may beappropriate "when additional contributory factors interrupt the chain of causation between theaccident and claimed injury—such as a gap in treatment, an intervening medical problemor a preexisting condition" (Pommells v Perez, 4 NY3d at 572).

Here, an MRI taken within days of the accident revealed a herniated disc at L5-S1 andplaintiff's chiropractor, James Romano, stated in his affidavit that the disc injury was related tothe accident. Romano had treated plaintiff from October 2003 to October 2004 and thenexamined her again in March 2008. Romano conducted a series of range of motion tests at theMarch 2008 examination and stated that, as to plaintiff's lumbar spine, her "range of motionflexion is 0-60-70� causing moderate pain along the lower lumbar musculature (normal flexionis 0-90�)."

Romano's range of motion findings, however, are based solely on his March 2008 test.Plaintiff acknowledged injuring her back in 2006 while helping a friend move and that injurywas, in part, the reason she was hospitalized in 2006. Romano does not set forth her limitationsprior to the 2006 accident, despite having treated plaintiff for a year starting shortly after thesubject car accident, and before the unrelated 2006 back injury.[FN*]This is particularly problematic since several medical reports from another health care providernoted in 2004 that plaintiff's "[l]umbosacral flexion is within normal limits."

Further fatal to plaintiff's claim is that Romano opined that her condition resulted in a "mildto moderate" disability. The potential restrictions on her activities set forth by Romano are notnearly as acute as those that we found sufficient to raise a factual issue in Secore v Allen (27 AD3d 825,827-828 [2006]). His affidavit and report do not contain the characterization of a severe injury aswas set forth in Pommells v Perez (4 NY3d at 576). The record fails to provide sufficientevidence to raise a factual issue as to whether plaintiff sustained a serious injury and, as such,defendant's motion was properly granted.

Mercure, J.P., McCarthy and Garry, JJ., concur. Ordered that the order is affirmed, withcosts.

Footnotes


Footnote *: Although Romano attached tohis affidavit his office notes from his earlier treatment of plaintiff, those notes are largelyillegible.


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