Natural causality for disc herniation after accident

ATA/596/1998Corte di giustizia / Camera amministrativa22 set 1998Dismissed

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Sintesi Omnilex

The case concerned an insured person who suffered a disc herniation after a fall. The decisive question was whether the accident insurer still owed benefits when the causal connection had ceased at the latest one year after the accident, at the time of statu quo sine. The court held that the insurer’s liability ended once the condition would have been the same without the accident. The claim was therefore dismissed.

Massima Omnilex

Art. 6 LAA; natural causality in accident insurance for spinal disc injury. Accident insurance liability requires that the accident remain a natural cause of the health impairment. Where, after a fall, a disc herniation is revealed but the medical state has reached the statu quo sine, the insurer’s duty to provide benefits ends from that point onward, because the accident no longer contributes causally to the continuing symptoms (consid. not stated).

Testo completo

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; LESION DE LA COLONNE VERTEBRALE; CAUSALITE NATURELLE; ASSU

Normes

LAA.6

Résumé

Hernie discale révélée par une chute statu quo sine atteint un an après l'accident.

Parole chiave

social insuranceaccident insurancedisc herniationspinal injurynatural causalitystatu quo sine

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Questione giuridica chiave

Whether the disc herniation remained in natural causal relation to the accident under accident insurance law.

Decisione estratta

The accident insurance remained responsible only up to the point where the statu quo sine was reached; thereafter the accident no longer caused the health impairment.

Motivazione estratta

The disc herniation became manifest after the fall, but the causal link was limited in time and ended when the condition reached the hypothetical state it would have had without the accident.

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