Spinal cord injuries are different from other personal injury cases. The damage is usually permanent. The costs extend over a lifetime. The legal process involves expert witnesses most attorneys never work with. No one researches spinal cord injury lawyers until something happens. Now you need to understand what your options actually are.
This page explains how spinal cord injury claims work under Texas law, what evidence matters, and how courts in Gregg County calculate damages for a permanent injury. Morris & Dewett has handled catastrophic injury cases for injured people in Longview and East Texas for more than 25 years. Take your time. Compare your options. Reach out when you're ready.
Spinal Cord Anatomy and Injury Classification
Spinal cord damage interrupts the signals between your brain and body. In most cases, that interruption is permanent. The cord carries motor commands down and sensory feedback up through a dense nerve bundle running from the base of your skull to your lower back.
Injury location determines what the body loses. Cervical injuries at C1 through C8 affect the arms, hands, trunk, and legs. Injuries at C3 and above can eliminate the ability to breathe independently. Thoracic injuries at T1 through T12 affect the trunk and legs while leaving the arms functional. Lumbar injuries at L1 through L5 affect the lower body and bladder function.
Clinicians classify injuries using the ASIA Impairment Scale (ASIA A through E). ASIA A designates a complete injury: no motor or sensory function below the injury level. ASIA B, C, and D designate incomplete injuries where some function remains. The complete versus incomplete distinction matters for prognosis and for damages. An incomplete injury may allow partial recovery. A complete injury typically does not.
Autonomic Dysreflexia is a secondary condition associated with high-level injuries at T6 and above. It is triggered by stimuli below the injury level and can cause a sudden, dangerous spike in blood pressure. Understanding it matters in litigation because it represents a recurring emergency risk that belongs in the life care plan.
Ask any attorney you are considering whether they understand ASIA classification and how injury level affects both prognosis and damages. An attorney unfamiliar with the clinical distinction between ASIA A and ASIA C will not know how to frame the damages case accurately. See our general Longview injury practice overview for context on how we approach catastrophic cases.
Common Causes of Spinal Cord Injuries in Longview
Motor vehicle accidents cause approximately 40% of spinal cord injuries nationally according to the National Spinal Cord Injury Statistical Center (NSCISC). In Gregg County, commercial truck traffic on US-259 is a recurring factor. US-80, SH-149, and Loop 281 are the other primary corridors. High-speed collisions on these routes produce the mechanism forces that fracture vertebrae and tear the spinal cord.
Falls from height are the second leading cause of SCI nationally. East Texas has active refinery, energy, and industrial operations around Longview. A worker who falls from scaffolding, an elevated platform, or oil field equipment and strikes the ground awkwardly can suffer cervical or thoracic fractures. Civil liability for workplace falls depends on whether the employer carries workers' compensation and whether third-party defendants were involved. See our big truck accident practice for context on multi-defendant industrial cases.
Diving accidents into shallow water produce cervical injuries from hyperflexion and hyperextension forces. Lake Cherokee and Lake O' the Pines are recreational areas near Longview where these injuries occur when swimmers misjudge water depth. The cervical spine is particularly vulnerable to abrupt water contact.
Violence-related injuries create civil liability independent of criminal proceedings. If the injury occurred on someone's property, premises liability under Texas law may allow a claim against the owner regardless of whether the attacker was prosecuted. This theory applies when the owner knew or should have known about the risk of criminal activity on the property.
When you meet with any attorney about a spinal cord injury claim, ask whether they have handled cases involving the specific cause of your injury. The evidence available, the defendants, and the applicable legal theories differ substantially between a vehicle collision SCI and an industrial fall SCI. Experience with one does not automatically transfer to the other.
How a Spinal Cord Injury Changes Daily Life
The consequences of a spinal cord injury fall into two categories: the primary injury and secondary complications that develop over months and years. Tetraplegia results from cervical injuries. Paralysis extends to the arms, legs, and trunk. Injuries at or above C3 often require permanent ventilator support. Paraplegia results from thoracic or lumbar injuries. The arms retain function but the lower body and its organ systems do not.
Spasticity develops when the brain's normal inhibitory signals are disrupted by the cord injury. It is not the same as retained voluntary movement. It can cause contractures if unmanaged and significantly complicates nursing care. Neurogenic bladder and bowel dysfunction require catheterization programs and bowel management regimens that become permanent daily routines.
Secondary complications compound over time. Pressure sores develop when a person cannot reposition their body. Urinary tract infections recur in patients with catheter dependence. Respiratory complications arise from limited mobility. Chronic pain requires ongoing pharmacologic management. Each of these is a real cost that a damages model must capture.
Spinal cord nerves do not regenerate reliably. The permanence of the disability is typically established within the first year. Life expectancy for SCI patients is reduced compared to the general population. Costs increase with age as secondary conditions become harder to manage. Ask any attorney handling an SCI case whether secondary complications are fully accounted for in the damages model. If they are not, the recovery will fall short within a few years.
Medical Treatment and Life Care Planning
Acute stabilization for spinal trauma in Longview begins at Good Shepherd Medical Center, which operates as a Level II trauma center with surgical capabilities for spine injuries. Patients requiring advanced neurosurgical intervention may transfer to UT Health Tyler or UT Southwestern Medical Center in Dallas. The acute phase involves immobilization, imaging, and typically surgical decompression.
Spinal surgery is common when bone fragment displacement or an unstable fracture threatens the cord. Procedures include decompression laminectomy, discectomy, and vertebroplasty. Surgical costs for complex procedures start at $50,000 and regularly exceed $150,000. That is the beginning of the cost curve. Following acute care, NSCISC data reports average initial rehabilitation stays of 31 days after an 11-day acute admission.
Home and lifestyle modifications are a separate damages category that many attorneys undercount. Wheelchair-accessible housing modifications, widened doorways, roll-in shower conversions, and adaptive vehicle controls are real costs that belong in the life care plan. These are not included in the initial medical bills. They must be projected separately by a qualified life care planner.
A Life Care Plan converts medical prognosis into admissible courtroom evidence. It projects every future cost: wheelchair replacement cycles, attendant care hours per day, medication, hospitalization frequencies, housing modifications. NSCISC data puts lifetime costs for a complete cervical injury above $5 million. Thoracic and lumbar complete injuries exceed $1.5 million over a patient's lifetime.
Ask any attorney you are considering how they handle life care plan evidence in a Gregg County courtroom. A credentialed life care planner and a forensic economist who converts future costs to present value are both required to put lifetime damages before a Texas jury. If an attorney does not retain these experts in SCI cases, that is a concrete gap. Morris & Dewett works with credentialed life care planners and forensic economists in catastrophic injury cases.
What Compensation Does Texas Law Allow After a Spinal Cord Injury?
Texas personal injury claims proceed under common law negligence. The injured person must prove the defendant's negligence caused the injury. Texas does not impose a general statutory cap on economic or non-economic damages in personal injury cases. The damage caps in CPRC Chapter 74 apply only to medical malpractice, not to standard personal injury claims arising from vehicle accidents, falls, or other negligence.
Economic damages cover past and future medical costs, lost wages, and Loss of Earning Capacity. Future projections require expert testimony. SCI plaintiffs who were in mid-career at the time of injury often have the largest economic damage component of any personal injury case in Gregg County.
Non-economic damages compensate for permanent disability, pain and suffering, loss of enjoyment of life, and disfigurement. There is no statutory cap on non-economic damages in standard personal injury cases in Texas. Your spouse may bring a separate loss of consortium claim under Texas common law for the loss of companionship, affection, and support caused by the injury. It is a separate damage category filed alongside the injured person's claim.
Exemplary damages under CPRC Section 41.008 are available when the defendant acted with gross negligence. The standard is clear and convincing evidence. The cap is the greater of two times economic damages plus noneconomic damages up to $750,000, or $200,000. Gross negligence most often arises in SCI cases involving intoxicated drivers, commercial vehicles with documented prior safety violations, or employers who ignored known hazards.
If a defective vehicle component contributed to the severity of the injury, product liability may apply alongside the negligence claim. Examples include a seat back that collapsed, a defective airbag, or a seat belt that failed. Ask any attorney whether they evaluate product liability theories in vehicle collision SCI cases. These claims involve separate defendants and require separate discovery that must begin promptly.
Proportionate Responsibility and the 51% Bar
Proportionate Responsibility in Texas operates under a hard cutoff. Under CPRC Chapter 33, a plaintiff found 51% or more responsible recovers nothing. At exactly 50%, recovery is allowed but reduced by half.
Insurance carriers defending high-value SCI cases build their defense around this rule. The goal is to push the plaintiff's responsibility percentage to 51% or above. Common arguments include pre-impact speed, failure to wear a seatbelt, disputed lane changes, and pre-incident maneuvers. In vehicle cases, the carrier's accident reconstruction team begins building this narrative while the plaintiff is still in acute care.
CPRC Section 33.004 allows defendants to designate responsible third parties during litigation. This shifts a portion of fault to a non-party. The plaintiff has 60 days after the designation to add that third party as a defendant. Missing that window can result in an irrecoverable fault allocation that reduces the recovery.
Accident reconstruction specialists and biomechanical engineers counter fault-shifting arguments. Reconstruction establishes how the collision occurred and the forces involved. Biomechanical analysis addresses whether the claimed mechanism could produce the observed injury pattern. In a case where lifetime damages exceed $5 million, the cost of these experts is justified.
Ask any attorney how they address proportionate responsibility from the beginning of the case. Specifically, ask whether they retain reconstruction experts before the insurance company's investigation concludes. The insurer's engineers are building their fault narrative immediately. Your attorney needs to be building a counter-narrative at the same time.
How Long Do You Have to File a Spinal Cord Injury Lawsuit in Texas?
The Statute of Limitations for personal injury in Texas is two years from the date of injury under CPRC Section 16.003(a). This is stable, settled Texas law with no recent changes.
Tolling rules modify the deadline in specific circumstances. If the injured person was under 18 at the time of injury, the statute does not begin running until they turn 18, giving them until age 20 to file under CPRC Section 16.001. The discovery rule may extend the start date when an injury is inherently undiscoverable through reasonable diligence, though this is rarely applicable in traumatic SCI where the injury is immediately apparent. Wrongful death claims run two years from the date of death under CPRC Section 16.003(b).
Civil litigation arising from injuries in Longview is filed in Gregg County District Court. Understanding venue matters because local rules, judicial temperament, and jury pools vary by county.
Evidence preservation cannot wait for the statute of limitations to approach. Vehicle ECM data, surveillance footage from nearby cameras, employer records, and hospital records must all be secured early. A preservation demand letter puts the responsible party on notice that evidence must be retained. Without it, data can be destroyed on normal retention schedules and courts may decline to impose sanctions.
If you are contacted by an insurance company after a spinal cord injury accident, refer them to an attorney before making any statement. Insurers begin their own investigation immediately. Recorded statements are used to build their proportionate responsibility narrative. What you say before legal counsel is involved can affect the percentage attributed to you.
Frequently Asked Questions
- What is the difference between a complete and incomplete spinal cord injury?
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A complete spinal cord injury (ASIA A) means no motor or sensory function exists below the level of the injury. The nerve signals are interrupted entirely. An incomplete injury (ASIA B, C, or D) means some function is preserved below the injury level. The practical difference matters for prognosis and for how a life care plan is built. Incomplete injuries may allow partial recovery with intensive rehabilitation. Complete injuries typically do not. Both categories require lifetime care, but the type, intensity, and cost of care differ based on classification.
- How long do I have to file a spinal cord injury lawsuit in Texas?
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Texas gives injured people two years from the date of injury to file a personal injury lawsuit under CPRC Section 16.003(a). If the injured person was a minor at the time, the deadline extends to two years after their 18th birthday. Wrongful death claims run two years from the date of death. These deadlines are firm. Missing them permanently bars the claim regardless of the severity of the injury or the strength of the evidence.
- What is a life care plan and why does it matter in my case?
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A life care plan is a document prepared by a certified life care planner that projects all future medical needs, adaptive equipment purchases, personal care assistance hours, housing modifications, and rehabilitation over the patient's lifetime. Texas courts require this evidence to support future damages. Without a credentialed life care planner and a forensic economist to convert future costs to present value, a jury has no admissible basis for awarding lifetime damages. For a complete cervical injury, NSCISC data puts lifetime costs above $5 million. A life care plan is how that number gets in front of a Gregg County jury.
- Does Texas law cap what I can recover in a spinal cord injury case?
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No, not in standard personal injury cases. CPRC Chapter 74 imposes damage caps on medical malpractice claims, but those caps do not apply to personal injury claims arising from vehicle accidents, falls, or other negligence. In a standard spinal cord injury case in Texas, there is no statutory cap on economic damages (medical costs, lost wages, loss of earning capacity) and no statutory cap on non-economic damages (pain and suffering, disability, loss of enjoyment of life). Exemplary damages for gross negligence are capped under CPRC Section 41.008, but the cap formula typically produces a higher ceiling in serious injury cases with large economic damage figures.
- What is autonomic dysreflexia and why does it matter legally?
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Autonomic dysreflexia is a reflex response that occurs in people with spinal cord injuries at or above the T6 level. An irritating stimulus below the injury, such as a distended bladder or a pressure wound, triggers a sudden dangerous spike in blood pressure. It requires immediate medical intervention and can cause stroke or death if untreated. It matters legally because it is a recurring emergency risk that must appear in the life care plan. An experienced SCI attorney includes projected hospitalizations and monitoring costs for autonomic dysreflexia in the damages model. Attorneys unfamiliar with the condition often miss this component entirely.
- What happens if I was partially at fault for the accident that caused my spinal cord injury?
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Texas uses proportionate responsibility under CPRC Chapter 33. If you are found 51% or more responsible for the accident, you recover nothing. If your responsibility is 50% or less, you recover damages reduced by your percentage. Insurance companies focus on pushing your percentage above 50% because it eliminates their exposure entirely. Accident reconstruction experts, biomechanical engineers, and early evidence preservation are the tools used to establish and defend the fault allocation. The decision of whether to settle or proceed to trial depends heavily on how the proportionate responsibility argument is resolved.
- What should I do immediately after a spinal cord injury accident to protect my legal claim?
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Seek emergency medical care first. Document the scene if possible, but do not delay care to gather evidence. Do not give a recorded statement to any insurance company before speaking with an attorney. Insurance adjusters contact claimants early to gather information used to build the defense. Request that a preservation demand be sent to all parties immediately to stop destruction of ECM data, surveillance footage, and employment records. The first 30 days after the crash are the most critical window for evidence preservation. Waiting weeks to consult an attorney can result in permanent evidence loss.
- Will my spinal cord injury case go to trial or settle?
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Most serious injury cases settle before trial, but that outcome is driven by the strength of the case going into litigation, not the assumption that both sides want to avoid a courtroom. Insurance carriers settle when they believe a jury verdict will cost more than the settlement amount. In high-value SCI cases, that calculation depends on how well the plaintiff's team has built the life care plan evidence, countered the proportionate responsibility arguments, and established the defendant's liability. Cases that are well-prepared for trial settle better than cases built for settlement from the start. Ask any attorney you are considering what their trial record looks like in serious injury cases. An attorney who rarely tries cases signals something to the other side.
These answers reflect Louisiana law as of . For case specific advice, consult with a Louisiana personal injury attorney who can evaluate your particular circumstances.