How Trivent Legal Strengthened a Medical Malpractice case with Multispecialty Medical Opinions 

Following a motor vehicle accident, the client presented with neurological symptoms suggestive of spinal injury. Despite these red flags, advanced imaging was delayed, and initial studies failed to identify critical abnormalities. By the time an MRI was conducted, the damage had progressed leading to surgery and long-term mobility loss. Trivent Legal was brought in to review extensive records and over 11,000 radiology images. Our multidisciplinary team delivered a precise medical chronology, expert opinion, and visual documentation that clarified diagnostic delays, surgical decisions, and deviations from standard of care strengthening the legal team’s position on liability and long-term impact.

Client Requirements

The legal team representing the client approached Trivent Legal to conduct an in-depth medical review, requesting the following:

A chronological medical summary of all care events

A narrative summary that distilled the key medical findings and interventions

A multispecialty medical opinion to assess liability, clinical decisions, and long-term impact

A thorough radiology image review, including over 11,000 files, to evaluate whether early signs of injury were present but not properly reported

Trivent Legal’s Approach

Trivent deployed a collaborative panel consisting of a radiologist, neurologist, and orthopedic surgeon. The review process included over 700 pages of medical documentation and extensive imaging records. Our team conducted a layered analysis with the following objectives:

1. Medical Chronology and Symptom Mapping

We built a clear timeline of the client’s symptoms, treatments, imaging, and surgeries to highlight when red flags were present and how medical responses evolved. This helped clarify delays in diagnosis and missed escalation opportunities.

2. Expert Imaging Review

Our radiologist conducted a detailed review of the available X-rays, CT scans, and MRIs. The team identified:

Subtle abnormalities in early imaging that were not described in radiology reports

Missed opportunity for earlier MRI based on neurological complaints

Lack of thoracolumbar CT imaging that could have confirmed injury sooner

Annotated images and level-specific findings were provided to clearly illustrate overlooked pathology.

3. Standard of Care Evaluation

Trivent Legal’s orthopedic and neurosurgical specialists reviewed the treatment timeline and surgical decisions to determine:

Whether imaging delays contributed to the client’s worsening condition

Whether the surgery was planned and executed in line with the standard of care

Whether spinal stabilization was appropriate for a patient with pre-existing spinal conditions

If deviations occurred, whether they had a material impact on the outcome

4. Narrative Summary and Legal Utility

We compiled a HIPAA-compliant, litigation-ready narrative that outlined:

The evolution of symptoms and diagnostics

Gaps in care or delay in escalation

Clinical reasoning behind surgical interventions

Opinions on how earlier intervention or more aggressive stabilization may have changed the outcome

This summary included annotated image references and cross-disciplinary analysis in a format that attorneys could use in settlement, trial, or mediation.

5. Key Medical Events Summary

To enhance clarity, Trivent included a Key Medical Events section presented as a flowchart. This visual tool aligned critical dates, symptoms, diagnostics, and interventions, helping the attorney and jury understand the timeline at a glance.

Medical Insights Delivered

Trivent’s specialists concluded:

There was a delay in ordering advanced imaging, despite neurological symptoms

Early CT scans showed abnormalities that were not flagged or documented

Surgical intervention may have been incomplete, with limited stabilization in a high-risk spinal condition

The medical team missed critical opportunities to mitigate neurological deterioration, directly contributing to long-term disability

Lifestyle and Functional Impact

As a result of the spinal injury and subsequent complications, the client:

Experienced significant limitations in mobility and daily activities

Required ongoing physical therapy and long-term assistive devices

Could not return to their previous occupation, leading to loss of income and vocational displacement

Faced lasting emotional and psychological strain due to loss of independence and quality of life

Attorney Outcome

The multidisciplinary medical opinion prepared by Trivent Legal provided:

Clear support for identifying standard of care deviations

Imaging-based evidence of delayed recognition of injury

A medically backed case narrative that clarified causation and impact

Tools that enhanced courtroom presentation and negotiation leverage

Conclusion

Trivent Legal delivers medically sound, litigation-ready insights that cut through complexity. In cases involving spinal cord injury, diagnostic delays, or surgical questions, our expert medical opinions help attorneys uncover liability, understand causation, and clearly present the impact on a client’s life.