Mariduena v. Pilalo

Decision Date09 March 2020
Docket NumberIndex No. 22166/2017E
Citation2020 NY Slip Op 31016 (U)
PartiesRAUL MARIDUENA, et al. v. LUIS PILALO, et al.
CourtNew York Supreme Court

NYSCEF DOC. NO. 78

Hon. MARY ANN BRIGANTTI Justice Supreme Court

The following papers numbered 1 to ___ were read on this motion ( Seq. No. 4 ) for SUMMARY JUDGMENT noticed on July 3, 2019.

Notice of Motion - Order to Show Cause - Exhibits and Affidavits Annexed
No(s). 1, 2
Answering Affidavit and Exhibits (Cross-Motions)
No(s). 3, 4
Replying Affidavit and Exhibits
No(s). 5

Upon the foregoing papers, the defendants Luis A. Pilalo and Sandra Cortez (collectively, "Defendants") move for summary judgment dismissing the complaint of the plaintiffs Raul Mariduena ("Raul") and Isabel Mariduena ("Isabel") for their failure to satisfy the "serious injury" threshold as defined by New York Insurance Law § 5102 (d). Plaintiffs oppose the motion.

When a defendant seeks summary judgment alleging that a plaintiff does not meet the "serious injury" threshold required to maintain a lawsuit, the burden is on the defendant to establish through competent evidence that the plaintiff has no cause of action (Franchini v Plameri, 1 N.Y.3d 536 [2003]). "Such evidence includes affidavits or affirmations of medical experts who examined the plaintiff and conclude that no objective medical findings support the plaintiff's claim" (Spencer v Golden Eagle, Inc., 82 A.D.3d 589, 590 [1st Dept 2011]). A defendant may also meet his or her summary judgment burden with sufficient medical evidence demonstrating that the plaintiff's injuries are not causally related to the accident (see Farrington v Go On Time Car Serv., 76 A.D.3d 818 [1st Dept 2010], citing Pommells v Perez, 4 N.Y.3d 566, 572 [2005]). Once this initial threshold is met, the burden shifts to the plaintiff to raise a material issue of fact using objective, admissible medical proof (see Toure v Avis Rent A Car Sys., 98 N.Y.2d 345, 350 [2002]).

Raul

In this matter, Defendants carried their initial summary judgment burden of establishing that Raul did not sustain a "serious injury" to his cervical or thoracic spine or right shoulder as a result of this accident. Defendants accomplished this by submitting the sworn IME report of orthopedist Dr. Richard Weiss, who found that Raul had normal ranges of motion in his cervical and thoracic spine upon a physical examination, and negative clinical results. The finding of limitations not exceeding 13.5% in Raul's right shoulder did not defeat Defendants' prima facie showing (see Style v Joseph, 32 A.D.3d 212, 214 n [1st Dept 2006] [20 degree limitation in left shoulder considered insignificant], citing Sellitto v Casey, 268 A.D.2d 753, 755 [3d Dept 2000] [10% limitation in left shoulder considered insignificant]; see also Gordon v Hernandez, — A.D.3d —, at *3 [1st Dept 2020] ["8%" limitation in "the ankle" considered insignificant], citing Arrowood v Lowinger, 294 A.D.2d 315 [1st Dept 2002] ["14%" limitation in "the ankle" considered insignificant]; Sone v Qamar, 68 A.D.3d 566 [1st Dept. 2009] [20 degree limitation in lumbar spine considered insignificant]). Therefore, Defendants have established that Raul sustained no "permanent consequential" or "significant limitation" category of injury to his cervical or thoracic spine, or right shoulder, as a result of the subject accident (see Tejada v LKQ Hunts Point Parts, 166 A.D.3d 436 [1st Dept 2018]; N.Y. Ins. Law § 5102 [d]).

In opposition to the motion, Raul has raised a triable issue of fact as to whether he sustained a "permanent consequential" or "significant limitation" to his cervical spine as a result of this accident. Raul accomplished this by submitting the sworn affirmation of Dr. Steve Losik, who reviewed and confirmed the accuracy of Raul's cervical and lumbar spine MRIs, which revealed, among other things, multiple herniations and bulges, and multiple bulges, respectively. Raul additionally submitted the sworn report of Dr. Henry Hall who first examined him within approximately one (1) week after the subject accident on September 1, 2016, and most recently on September 3, 2019. During his examinations, Dr. Hall continuously found, among other things, pain and range of motion limitations in Raul's cervical spine and directly related that injury to the subject accident (see Holloman v American United Transp. Inc., 162 A.D.3d 423, 424 [1st Dept 2018]).

Since Dr. Hall did not examine Raul's thoracic spine or right shoulder for range of motion, Raul failed to refute the findings of Defendants' experts that his claimed injuries to those body parts had resolved (Lopez v Morel-Ulla, 144 A.D.3d 504, 505 [1st Dept 2016] ["Absent limitations, there is no serious injury"] [citation omitted]). Nevertheless, since Defendants did not raise any issue as to lack of causation, if the trier of fact determines that Raul sustained a serious injury to his cervical spine at trial, he may recover damages for his thoracic spine and right shoulder injuries even though they do not satisfy the serious injury threshold (Bonilla v Vargas-Nunez, 147 A.D.3d 461, 462 [1st Dept 2017], citing Rubin v SMS Taxi Corp., 71 A.D.3d 548, 549-550 [1st Dept 2010]).

Isabel

Defendants also carried their initial summary judgment burden of establishing that Isabel did not sustain a "serious injury" to her cervical, thoracic, or lumbar spine, left shoulder or left hand, as a result ofthis accident. Defendants accomplished this by submitting the sworn IME report of Dr. Weiss, who found that Isabel had normal ranges of motion in her cervical, thoracic, and lumbar spine, left shoulder and left hand, upon a physical examination, and negative clinical results (Ahmed v Cannon, 129 A.D.3d 645, 646 [1st Dept 2015]).

The Court notes that Dr. Weiss did not examine Isabel's alleged left hip, left knee, left foot, and right elbow injuries. Without any detailed "objective, quantitative evidence," Defendants did not meet their prima facie burden with respect to those body parts (Gorden v Tibulcio, 50 A.D.3d 460, 463 [1st Dept 2008]). Moreover, Isabel testified that she injured her left hip, left knee, left foot, and right elbow as a result of this accident (Pl. EBT at 28, 35-36; compare Fludd v Pena, 122 A.D.3d 436 [1st Dept 2014]).

Therefore, Defendants have established that Isabel sustained no "permanent consequential" or "significant limitation" category of injury to her cervical, thoracic, or lumbar spine, left shoulder and left hand, only, as a result of the subject accident (see Tejada v LKQ Hunts Point Parts, 166 A.D.3d 436 [1st Dept 2018]; N.Y. Ins. Law § 5102 [d]).

In opposition to the motion, Isabel has raised a triable issue of fact as to whether she sustained a "permanent consequential" or "significant limitation" to her cervical and lumbar spine as a result of this accident. Isabel accomplished this by submitting the sworn affirmation of Dr. Losik, who reviewed and confirmed the accuracy of Isabel's cervical and lumbar spine MRIs, which revealed, among other things, multiple herniations and bulges, and multiple bulges, respectively. Isabel additionally submitted the sworn report of Dr. Hall who first examined her within approximately one (1) week after the subject accident on September 1, 2016...

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