A Louisiana spinal cord injury is a negligence claim under La. C.C. Art. 2315, and for injuries after July 1, 2024 the prescriptive period is two years under Art. 3493.1; for injuries on or after January 1, 2026, a 51% fault finding under Art. 2323 ends recovery. Trey Morris Injury Lawyers builds that catastrophic file from a life-care plan before an insurer uses speed or seatbelt arguments to push the injured person past the bar.
Spinal Cord Anatomy and Injury Classification
Spinal cord injuries in Louisiana are classified by vertebral level (thoracic T1-T12 or lumbar L1-L5) and by completeness (ASIA A through E). Both factors directly determine the scope of disability and the scale of lifetime damages. The spinal cord carries motor commands downward and sensory signals upward. Damage at any point interrupts that transmission permanently in most cases.
Injury location determines what the body loses. This page focuses on the thoracic and lumbar regions of the spine. Thoracic injuries at T1 through T12 affect trunk stability and lower-body function. At T1 through T6, the intercostal muscles involved in breathing are also affected. Lumbar injuries at L1 through L5 affect lower limb function and bowel, bladder, and sexual function. Upper body strength is typically preserved.
ASIA Impairment Scale
A standardized classification developed by the American Spinal Injury Association. ASIA A = complete injury with no motor or sensory function below the injury level. ASIA B through D = incomplete, with some function preserved. ASIA E = normal function. The ASIA grade affects prognosis and how damages are calculated.
Clinicians use the ASIA Impairment Scale to rate injury severity from A through E. ASIA A is a complete injury. No motor or sensory function exists below the injury level. ASIA B, C, and D are incomplete injuries where some function survives. The complete versus incomplete distinction changes the prognosis, the life care plan, and the damages calculation significantly. An incomplete ASIA C or D injury may allow partial recovery with rehabilitation. A complete ASIA A injury typically does not.
Paraplegia
Paralysis of the lower half of the body, typically from thoracic or lumbar spine injuries. The arms and hands retain function. Bowel, bladder, and sexual function are commonly disrupted alongside loss of lower-body movement.
Paraplegia results from thoracic and lumbar injuries. Tetraplegia (quadriplegia), which affects all four limbs, results from cervical injuries and is addressed on the neck-trauma page. The difference between ASIA A and ASIA C at the same vertebral level changes the life care plan total by hundreds of thousands of dollars.
Common Causes of Thoracic and Lumbar Spinal Cord Injuries in Louisiana
Motor vehicle accidents cause approximately 40% of all spinal cord injuries nationally, according to the National Spinal Cord Injury Statistical Center. Louisiana’s major corridors, I-10, I-20, and I-49, carry high volumes of commercial truck traffic. Catastrophic collisions on these routes are a recurring source of SCI claims in this state.
Falls from height are the second leading cause of SCI. Construction site falls, industrial platform falls, and workplace incidents account for a significant share. Louisiana’s petrochemical and offshore industries are among the highest-risk sectors in the country for worker fatality and serious injury. Many non-fatal SCI events occur at onshore refineries, offshore platforms, and shipyards throughout the state.
Violence causes a meaningful share of spinal cord injuries. A civil premises liability claim under Louisiana law may be available against a property owner when the assault occurred on their property and they failed to provide adequate security. The civil claim stands independently of any criminal proceeding.
Sports and recreational activities contribute as well. Diving accidents, ATV crashes, and falls during contact sports all produce thoracic and lumbar injuries. The CDC documented a rate of 0.4 football-associated spinal cord injuries per 100,000 Louisiana residents as early as 1989. High school and collegiate football in Louisiana remains a documented source of SCI.
Paraplegia: Life with a Thoracic or Lumbar Injury
A thoracic or lumbar spinal cord injury produces two categories of consequences: the primary injury and the secondary complications that accumulate over years. Both categories must be fully documented in a damages claim.
Paraplegia from thoracic injury is not uniform. T1 through T6 injuries affect trunk stability and reduce breathing endurance. The patient may not require a ventilator, but respiratory function is diminished and endurance for activities requiring core strength is reduced. T6 through T12 injuries spare more trunk function but result in complete lower-body paralysis and loss of bowel, bladder, and sexual function.
Cauda Equina Syndrome
Damage to the bundle of nerve roots below the end of the spinal cord (L1 and below), rather than to the cord itself. Unlike cord injuries, cauda equina syndrome may allow some recovery with immediate surgical decompression. It is a surgical emergency. Delayed decompression leads to permanent bowel, bladder, and lower limb dysfunction.
Lumbar injuries at L1 through L5 often allow more lower-body sparing. Some patients with incomplete lumbar injuries regain partial ambulation with rehabilitation. Cauda Equina Syndrome at L1 and below is a surgical emergency. If surgery is delayed, the functional loss becomes permanent.
Secondary complications are significant. Pressure ulcers develop when a person cannot reposition independently. Urinary tract infections occur frequently in patients with catheter dependence. Deep vein thrombosis (DVT) risk is elevated due to immobility. DVT can progress to pulmonary embolism, which is life-threatening. Respiratory complications arise from reduced lung capacity. Spasticity and chronic pain require long-term management. Each complication adds recurring costs to the life care projection.
Pressure ulcers requiring surgical debridement, recurrent UTI hospitalizations, and respiratory interventions are real future costs that must appear in the life care plan. Life expectancy for SCI patients is reduced, and the cost escalation over decades is substantial.
Medical Treatment and Life Care Planning
Acute stabilization for thoracic and lumbar SCI typically begins at the nearest trauma center. Complex neurosurgical cases require transfer to a Level I trauma center. In Louisiana, those facilities include Ochsner LSU Health Shreveport, Tulane Medical Center in New Orleans, Ochsner Medical Center New Orleans, and LSU Health New Orleans. The acute phase involves immobilization, advanced imaging, and often surgical decompression.
Spinal surgery is common when fractures are unstable or bone fragments are displaced. Procedures include decompression laminectomy, discectomy, and spinal fusion. The National Spinal Cord Injury Statistical Center reports an average initial hospitalization of 11 days in acute care, followed by 31 days of inpatient rehabilitation on average.
Long-term needs after discharge are substantial: power wheelchair with a manual backup, home modification for ramps and roll-in shower and widened doorways, an adapted vehicle, and daily attendant care hours. Bowel and bladder management programs are permanent. They require ongoing catheter supplies, urological monitoring, and periodic hospitalizations.
Life Care Plan
A comprehensive document prepared by a certified life care planner projecting all future medical needs, rehabilitation, adaptive equipment, personal care assistance, and housing modifications over the patient’s lifetime. Courts require this document to support future damage claims.
A Life Care Plan translates the medical prognosis into admissible courtroom evidence. NSCISC data shows a complete thoracic injury at age 25 exceeds $1.5 million in lifetime costs, excluding lost earnings. Vocational rehabilitation is part of this picture. SCI survivors may require retraining for sedentary or adaptive work. The vocational expert documents what was lost and what is still possible.
Louisiana residents with a physician-confirmed traumatic SCI who have exhausted Medicare and Medicaid may qualify for the Louisiana Traumatic Head and Spinal Cord Injury Trust Fund. The program served 553 SCI survivors in fiscal year 2022 and is funded by fees imposed on DUI, reckless operation, and speeding violations under Act 654 (1993). Eligibility requires Louisiana residency at the time of injury and physician confirmation of traumatic SCI causing paraplegia or quadriplegia.
A certified life care planner and a forensic economist are both required to put lifetime cost projections before a Louisiana jury. Trey Morris Injury Lawyers retains credentialed life care planners and forensic economists for SCI cases.
Liability Theories in Louisiana Spinal Cord Cases
All spinal cord injury claims in Louisiana proceed under La. C.C. Art. 2315, the general tort liability statute. To recover, you must prove the defendant’s negligence caused your injury. The legal theories available depend on how the injury occurred.
Vehicle collision cases analyze fault under Louisiana traffic statutes. Fault percentage governs recovery under the state’s comparative fault rules. Workplace SCI creates a layered situation. Workers’ compensation is the exclusive remedy against the employer. Third-party tort claims remain available against equipment manufacturers, subcontractors, property owners, and anyone else whose negligence contributed.
Prescriptive Period
Louisiana’s term for statute of limitations. The legal deadline to file a lawsuit. For personal injury, it is two years from the date of injury under La. C.C. Art. 3493.1 (effective July 1, 2024). Product liability claims follow the same two-year period.
Product liability under the Louisiana Products Liability Act (La. R.S. 9:2800.51) applies when a defective component contributed to the injury. Defective seat backs, vehicle safety harnesses, and machinery guards are recurring issues in SCI litigation. LPLA claims are delictual actions that carry the same two-year Prescriptive Period, and prescription does not run against minors or interdicts in LPLA actions involving permanent disability.
Premises liability under La. C.C. Art. 2317 applies when a property defect contributed to a fall that caused SCI. A broken stairwell, an unguarded elevated platform, or inadequate lighting can support a premises liability claim. When workers’ compensation benefits have been paid, La. R.S. 23:1101 creates a lien on any tort recovery. Coordination between the comp claim and the tort claim requires careful management from the start.
A defective component may add a separate, better-insured defendant to a vehicle or workplace SCI case, which is why product liability theories are evaluated alongside the negligence claim.
What Damages Does Louisiana Law Allow After a Spinal Cord Injury?
Loss of Earning Capacity
The difference between what you could have earned over your working lifetime and what you can earn now after the injury. Calculated by a vocational expert and converted to present value by an economist.
Louisiana allows two categories of damages in SCI cases: economic and non-economic. Economic damages cover past and future medical costs, lost wages, and Loss of Earning Capacity. Non-economic damages cover permanent disability, loss of independence, loss of enjoyment of life, and disfigurement. There is no statutory cap on non-economic damages in non-medical malpractice cases, except claims against public bodies.
The 2024 tort reform changed how medical expenses are calculated. La. R.S. 9:2800.27 caps recoverable medical expenses at the amount actually paid, not the amount billed. In high-cost SCI cases, billed amounts are often multiples of paid amounts. This change reduces the recoverable medical expense figure. Your attorney needs to know how to present life care plan costs in the post-reform framework.
Loss of earning capacity is calculated by a vocational expert who documents the difference between the pre-injury career trajectory and post-injury earning potential. An economist converts the result to present value. Insurers dispute both figures aggressively in high-value SCI claims. A life care plan and vocational report are required to defend these numbers at negotiation and at trial.
Loss of Consortium
A claim by the injured person’s close family for the loss of companionship, affection, and support caused by the injured person’s condition. Louisiana gives it to the same relatives who could bring a wrongful death claim, starting with the spouse and children. It is a separate damage category from the injured person’s own claims.
A Loss of Consortium claim is available to the injured person’s close family under La. C.C. Art. 2315: the spouse and children first, then the parents if there is no spouse or child, then the brothers and sisters, then the grandparents. When the injured person does not survive, wrongful death and survival actions under La. C.C. Art. 2315.1 and La. C.C. Art. 2315.2 allow surviving family members to pursue separate claims.
Comparative Fault and the 51% Bar
Comparative Fault
A legal rule that reduces your recovery by your percentage of fault. In Louisiana, for injuries on or after January 1, 2026, if you are 51% or more at fault, you recover nothing. If you are 50% or less at fault, your damages are reduced proportionally. For earlier injuries, fault reduces damages but does not bar recovery.
Louisiana’s Comparative Fault rule was modified by tort reform effective January 1, 2026. Under La. C.C. Art. 2323, if you are found 51% or more at fault, you recover nothing. The effective date matters. For injuries before January 1, 2026, Louisiana used pure comparative fault: fault reduces damages but does not bar recovery.
Insurance defense strategy in high-value SCI cases focuses on pushing the plaintiff’s fault percentage to 51% or above. A complete SCI produces lifetime damages in the millions. Eliminating recovery entirely is a significant financial incentive for the insurer. The arguments used are predictable: speed, seatbelt non-use, lane position, pre-impact driving decisions.
Accident reconstructionists and biomechanical engineers counter these arguments. Both are routinely needed in SCI cases. An accident reconstructionist establishes what actually happened. A biomechanical engineer addresses whether the injury mechanism is consistent with the plaintiff’s account.
The insurer starts building its fault-shifting narrative at the scene. Trey Morris Injury Lawyers works with accident reconstructionists and biomechanical engineers in SCI cases from the start to counter that narrative early.
How Spinal Cord Injury Cases Are Proved in Louisiana
SCI proof is categorically more demanding than standard personal injury proof. You must establish not just what the injury is, but what it will cost over a lifetime, how it alters earning capacity, and what secondary complications are medically probable. That requires a team of experts, not just a treating physician.
Medical imaging establishes the injury level. MRI, CT myelogram, and nerve conduction studies define the ASIA grade and the specific vertebral level affected. This radiological record is the foundation of the medical evidence. A physiatrist, a physician specializing in physical medicine and rehabilitation, is the appropriate primary medical expert for an SCI case. Emergency and surgical physicians document the acute injury. Physiatrists document the long-term trajectory, the expected secondary complications, and the rehabilitation needs. The difference matters for a life care plan.
A functional capacity evaluation (FCE) tests the patient’s actual post-injury work capacity. A licensed physical therapist conducts the evaluation. The results feed directly into the vocational expert’s earning capacity analysis. When the SCI involves concurrent brain involvement, a neuropsychological evaluation is required to document cognitive impact.
Preservation of physical evidence is critical and time-sensitive. Vehicle ECM (Engine Control Module) data records pre-impact speed, braking, and throttle position. That data is overwritten within 30 to 45 days without a written preservation demand. CCTV footage at accident locations is typically overwritten within 14 to 30 days. Equipment maintenance records and inspection logs are essential in industrial cases.
A fully built SCI case carries a complete expert roster: a certified life care planner, a forensic economist, a vocational expert, a physiatrist, and an accident reconstructionist. A case that relies on the treating physician alone is not structured to prove an SCI claim fully.
How Long Do You Have to File a Spinal Cord Injury Claim in Louisiana?
Louisiana’s prescriptive period for personal injury is two years from the date of injury under La. C.C. Art. 3493.1, effective July 1, 2024. Injuries that occurred on or before July 1, 2024 prescribe at one year under prior law. If your injury predates that date, verify your deadline immediately.
Workers’ compensation claims for workplace SCI prescribe separately. A medical benefits claim must be filed within one year of the accident, or within three years of the last medical payment, under La. R.S. 23:1209. Product liability claims under the LPLA follow the same two-year prescriptive period as other tort claims for injuries after July 1, 2024.
Louisiana courts with jurisdiction depend on where the injury occurred. Cases may be filed in any of the state’s 42 judicial district courts or in federal court for diversity jurisdiction cases. The choice of court affects the pool of jurors, the applicable local rules, and the pace of litigation.
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Frequently Asked Questions
What is the difference between paraplegia and tetraplegia in a Louisiana spinal cord injury case?
What is cauda equina syndrome and why does it require immediate legal attention?
How long do I have to file a spinal cord injury lawsuit in Louisiana?
What is a life care plan and why does it matter in my SCI case?
Does Louisiana law cap what I can recover in a spinal cord injury case?
What happens if I was partially at fault for the accident that caused my spinal cord injury?
Can my spouse file a separate claim because of how my spinal cord injury has affected our relationship?
Will my spinal cord injury case settle or go to trial?
What should I do immediately after a spinal cord injury accident to protect my legal claim?
What rehabilitation resources does Louisiana offer to spinal cord injury survivors?
Last updated October 16, 2026
