The opinion of the court was delivered by
In this automobile negligence case, plaintiffs, Rena and Mitchell Brenman,
On October 10, 2001, forty-year old Rena Brenman (plaintiff) was driving her car on Ryders Lane in East Brunswick when she was rear-ended by a vehicle operated by Stephanie Demello (defendant) in “stop and go” traffic. According to plaintiff, her vehicle was pushed four or five feet forward into the right hand curb where there was another bump. Plaintiff, who was seatbelt-ed, “jerked forward and backwards,” and hit “[her] head and her neck, [her] shoulders and [her] back” on the seat. By all accounts, her car sustained minimal damage — a dent on the driver’s side portion of the rear bumper. There was some dispute, on the other hand, as to the damage sustained to defendant’s vehicle. Plaintiff described the front of defendant’s car as “smushed in all the way to the windshield,” “like an accordion.” According to defendant, there was damage to the headlight, grill and hood, and the car was towed away because it was leaking antifreeze from a punctured radiator and not because it was inoperable. In any event, defendant was given a summons for careless driving.
Plaintiff immediately complained of neck pain, although she did not visit the emergency room. Several days later, after being treated by her family physician for neck and shoulder pain, she consulted with an orthopedist, Dr. Lewis Zemsky, who prescribed pain medication and recommended physiotherapy and a cervical pillow. Two months later, in December 2001, plaintiff underwent an MRI, which confirmed a “cervical spondylosis with a ventral osteophytic ridge ... at C3-4 without spinal cord compression or foraminal encroachment.” Based on these results, plaintiff was referred to Dr. Kasoff, for a neurological consultation. A myelo-gram performed on March 22, 2002, established an impingement at C3^4, revealing “a disc ridge complex at the C3-4 level with a cut off of the two nerve roots at that level, that would be the two
Dr. Kasoff recommended an anterior cervical discectomy and fusion, and a second opinion from Dr. Kalko, a neurosurgeon, concurred with Dr. Kasoff s pathology and recommendation. Consequently, on August 20, 2002, plaintiff underwent an anterior cervical fusion, involving the removal of the discs at C3-4, C4-5, and C5-6.
Plaintiff continued seeing Dr. Kalko post-operatively. As of June 17, 2003, Dr. Kalko diagnosed plaintiff with cervical radiculo-pathy and concluded her injuries were both permanent and caused by the car accident. Complaining of pain radiating to both her arms, plaintiff was also examined, as late as July 30, 2004, by Dr. Ratzker, her trial expert. Although Dr. Ratzker acknowledged that osteophytes, or abnormal bone protrusions, may be degenerative in nature, he nevertheless concluded, similar to Dr. Kalko, that “there was a causal relationship between the accident and [plaintiffs] problem” based on the diagnostic studies and the “fact that [plaintiff] had not complained previously of these problems, neck pain, radiation to the head, radiation down the arms and began to suffer with these complaints immediately after the accident____”
The origin of plaintiffs injuries was disputed by Dr. Eric Fremed, defendant’s expert in neurology. He interpreted both the MRI and myelogram similar to Dr. Ratzker. However, Dr. Fremed opined that spondylosis was a degenerative condition and that the presence of osteophytes was also suggestive of the same.
Both Ratzker and Fremed agreed, however, that plaintiff had no cervical history prior to the accident. They also agreed that there was no correlation between the minimal impact nature of the collision and any injury plaintiff may have suffered therefrom. The following exchange occurred on redirect of Dr. Ratzker:
Q: ... in your experience as a neurosurgeon is there any relationship between how much damage is done to the rear of a car and any injuries that may be sustained by the occupants of that vehicle?
A: No, not necessarily. The important point is how or what vector of force was delivered to the patient’s spine—
A: In a typical rear-end collision like this typically the patient will be seated, the impact delivered to the patient is through the back of the seat, which means the body will start going forward first while the head lags, okay? Because the seat is pushing the thoracic area forward while nothing is behind the cervical. So the head will typically snap back and then kind of forward flex to catch up with the body, we call an extension flexion injury____And that, again, totally depends on the momentum or the velocity of that seat against the patient’s upper back. It doesn’t have anything to do with what happened to the bumper or what not.
[Emphasis added.]
Dr. Fremed agreed with Dr. Ratzker, as reflected by the following exchange on his cross-examination:
Q: And isn’t it true you never really look at the damage to somebody’s vehicle, you look and see what happened to the individual that you’re treating?
A: Correct.
Q: Okay. And you would agree there really is no, no neurological relationship between how much damage is done to a rear bumper, in fact, you have to listen to the patient and find out the chronology of complaints?
A: That is correct.
Q: AU right So if the jurors were going to look at some photographs in this case, something like D-1% that will tell you the picture of the bumper, correct, but it doesn’t tell you what happened to the occupant?
A: That’s correct.
[Emphasis added.]
[Wlhere the photographs have been offered not to prove causation but, instead, to address the disputed issue of the severity of impact the photographs were not scientific evidence so as to [re]quire expert testimony and no expert testimony is needed to describe the physical damage of the vehicle or to all the jury to infer that the force that would cause the damage.
[Emphasis added.]
Resultingly, at trial, photos of plaintiffs vehicle were admitted over plaintiffs objection, but no photograph of defendant’s vehicle was proffered even though the extent of its damage was disputed. And notwithstanding the implicit understanding that the photos would not be used to prove causation, defense counsel in her opening and closing arguments inferred precisely just such a correlation. Despite the absence of any expert bio-mechanical proof to this effect, and indeed a consensus of medical testimony to the contrary, defense counsel nevertheless suggested that limited property damage shows that the force of impact was insufficient to cause plaintiffs injuries. Defense counsel argued on summation:
I opened as a fender bender. I’m going to close as a fender bender. That’s what that was. Mrs. Brenman, however, Mr. Brenman now want Stephanie Demello to pay for some close to $400,000 in future lost wages, some $270,000 they’re claiming*528 for future household items, for a surgery, a triple cervical fusion all as a result of that. All as a result of that fender bender.
[Emphasis added.]
Then, at the very close of her argument, defense counsel, again referring to the accident as a “fender bender,” implied such slight property damage did not cause plaintiffs injuries:
My client Stephanie Demello is being charged with a lot of things, all this future income, all these household services, all this money, all this injury from a minor fender bender. I opened with it, ladies and gentlemen, and I’ll close with it. This is a fender bender. This is not a lottery.
[Emphasis added.]
The jury’s charge included instructions on proximate causation in the context of a claim of aggravation of a preexisting condition that was asymptomatic at the time of the accident. As noted, however, the judge did not give a limiting instruction on the use of the photos of plaintiffs vehicle, or a curative instruction to mitigate the effect of defense counsel’s argument linking vehicle damage to bodily injury. During deliberations, the jury requested to be reinstructed on proximate cause. Shortly thereafter, the jury returned a “no-cause” verdict finding defendant was not the proximate cause of plaintiffs injuries.
Plaintiff moved for a new trial. Her principal contention was that the photos depicting minimal damage to her vehicle should not have been admitted into evidence without a proper limiting instruction and that absent any expert testimony establishing a correlation between vehicle damage and personal injury, defense counsel should have been prohibited from inviting the jury to speculate about the existence of such a connection. In opposing plaintiffs motion, defendant argued that photographs of vehicles post-accident are admissible as relevant evidence and it is essentially “common knowledge” that there is some relationship between the extent of vehicular damage and the likelihood of a particular injury. The judge denied the motion for a new trial.
Plaintiff repeats her principal contention on appeal. Under the circumstances of this case, we are satisfied that the admission of the photographs without any limitation on their use, and the use
As a threshold matter, we review a trial court’s evidentiary rulings under an abuse of discretion standard, Benevenga v. Digregorio, 325 N.J.Super. 27, 32,
Photographic evidence is usually admissible as demonstrative proof, assuming it is relevant, N.J.R.E. 401; fairly and accurately depicts the subject matter at the time of the event in question, Spedick v. Murphy, 266 N.J.Super. 573, 590,
Photographic evidence is not inherently relevant but only as to a particular matter properly provable in a case, when it makes the existence of a fact in issue more or less probable. That
In the context of automobile negligence cases, photographic evidence depicting accident scenes and damage to vehicles are normally considered to have some relevance. Along with particular reasons in each case, as a general proposition, such photographs may help explain the description of the occurrence provided by parties and witnesses and may assist the jury to visualize the nature of the accident. In fact, in some cases, this type of demonstrative evidence has the unique capacity to clarify and communicate facts more accurately than the words it illustrates. Thus, where there is some dispute as to the circumstances of the underlying accident, photographs of vehicular damage may have significance to the issues of liability and negligence. For instance, a description of the physical damage to the vehicle may allow the jury to properly infer the force of the impact that would cause the property damage depicted in the photographs.
Even where liability has been conceded, courts have held that photographs and testimony describing vehicular damage may be relevant with respect to the nature, extent or seriousness of an occupant’s personal injuries suffered in the automobile accident. In Gambrell v. Zengel, 110 N.J.Super. 377,
At the same time it is a generally accepted rule that evidence of the speed at which the colliding ears were traveling, the severity of the physical impact and the manner of the happening of the accident is admissible where there is an issue as to the seriousness of plaintiffs injuries.
ilbid.]
We later reached the same result in Spedick, supra, this time rejecting objections by a plaintiff to the admission into evidence of two photographs showing no damage to the front of the defendant’s automobile. Spedick, supra, 266 N.J.Super. at 590-91,
A similar conclusion was reached in Murray v. Mossman, 52 Wash.2d 885,
Regardless of whether such common sense belief suffices to support an inference that a plaintiffs subjective complaints are not credible, we discern it to have no legitimate application to issues of causation, which are ordinarily matters susceptible of expert proof. Pelose v. Green, 222 N.J.Super. 545, 549-51,
Indeed, the photograph admitted in Gambrell was not being offered to definitively determine whether the injury could or could not have resulted from the impact, in which event expert proof would have been required. Biunno, Current N.J. Rules of Evidence, comment 1 on N.J.R.E. 702 (2005); Gambrell, supru, 110 N.J.Super. at 379,
In Suanez v. Egeland, 353 N.J.Super. 191, 194,
Before the “fender bender” comment was made, the trial judge had specifically ruled that counsel could not present that very contention, based on the photographs alone. Id. at 42. There was no expert testimony correlating the extent of vehicular damage to the extent of an occupant’s personal injuries. Id. at 40. Obviously, then, the phrase “fender bender” circumvented the trial judge’s ruling. In granting the plaintiff a new trial on damages, the Delaware Supreme Court held that the phrase was impermissible because it was unsupported by expert testimony, and left the jury in a position to “make unguided empirical assumptions on issues that are outside the common knowledge of laymen.” Id. at 41 n. 9. The Court “also conclude[d] that it was error to admit the photographs of the plaintiffs car without a specific instruction limiting the jury’s use of the photographs.” Id. at 38. So great was the potential for prejudice that the “fail[ure] to provide a curative instruction to mitigate the effects of the defendant’s improper argument ... [required] a new trial----” Ibid.
This court has explained that the rationale for requiring a defendant to introduce this expert testimony is “to avoid what amountfsj to the jury forming medical opinions.”
The same principles apply to the relationship between damage to a plaintiff!’Js vehicle and the nature and extent of a plaintiffl’js personal injuries,
[DiCosola, supra, 276 Ill.Dec. 625, 794 N.E.Zd at 880-81 (quoting Hawkes v. Casino Queen, Inc., 336 Ill.App.3d 994, 271 Ill.Dec. 575, 785 N.E.3d 507, 518 (2003)) (first alteration in original).
We find the rationale of Davis and its progeny persuasive. Photographs alone cannot provide definitive evidence that the physics of a particular accident — the general forces at work in a collision determined by physical forces analysis — did or did not cause a particular injury to a particular individual. This is especially so here where the medical experts on both sides agreed there is no such connection. As such, a party’s use of photographs depicting minimal vehicular damage to suggest just such a caus
Applying these principles to the facts at hand, we are convinced that the cumulative effect of admitting the photographs without a limiting instruction and allowing counsel to prominently argue an improper inference resulted in an unfair verdict.
Despite defendant’s contention to the contrary, the central, critical issue in dispute was the cause of plaintiffs injuries. Significantly, for present purposes, there was no disagreement that plaintiffs vehicle sustained only very minor property damage and, as a result, the photographs were not offered solely to establish the degree of damage to plaintiffs car. Nor was there any real conflict over the severity of plaintiffs condition following the accident. Although there was some question whether plaintiff actually sustained a herniated disc, the objective medical evidence revealed at the very least “a disc ridge complex at C3^i level with a cut-off of the two nerve roots at that level.” Undisputedly, plaintiff underwent an anterior cervical fusion involving the removal of the discs at C3-4, C4-5, and C5-6, and even defendant’s medical expert found “a case [for operating] at C3-4 ...” Thus, this is not a case like either Gambrell or Spedick, where photographic evidence was deemed relevant to the disputed issues of the severity of the impact and the probable extent of the resulting personal injury, Gambrell, supra, 110 N.J.Super. at 380,
To be clear, our holding should not be construed broadly to require expert testimony in every case in order for jurors to be permitted to view photographs of vehicles involved in an accident. As noted, photographic evidence is neither automatically admissible nor excludable, but rather subject to the sound exercise of the trial court’s discretion. Whether an expert foundation is required depends, of course, on the particular issue in the case to which the photographic evidence relates. Here, that issue was causation and because no expert proof of correlation was produced, we hold that
We have considered the remaining issues raised by plaintiff and are satisfied none of them is of sufficient merit to warrant discussion in a written opinion. R. 2:ll-3(e)(l)(E).
Reversed and remanded for a new trial.
Notes
Plaintiff, Mitchell Brenman, Rena's husband, sued per quod.
At trial, plaintiff’s expert in neurosurgery, Dr. Paul Ratzker, testified that a fusion involves joining two or more vertebra by removing a diseased disc and inserting a "bone dowel" in the space created, thus forming one piece of bone where there would have been three, and restricting movement about the neck. The result is permanent, in that the vertebra are joined together.
