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★ Hawaii · back & spine

Back & spine settlements
in Hawaii.

By 9 min read

When the titanium rods for a spinal fusion could not be found mid operation at Hilo Medical Center, the surgeon cut a piece from a stainless steel screwdriver and implanted it. The jury awarded $1.7 million in general damages to the estate and $3.4 million in punitive damages against the surgeon. A construction worker’s back injury in 2004 was linked to a spine condition diagnosed years later.

Facts that decide a back & spine claim in Hawaii

State hospitalsA claim against a state hospital is tried by the judge unless all parties consent to a jury; the jury in Dolan was advisory for the hospital.Haw. Rev. Stat. § 662-5; Dolan v. Hilo Medical Center (Haw. App. 2012)
Later spine conditionsA spine condition diagnosed years after a work injury can be compensable if causally related to it; Skahan’s DISH was, his low back was not.Skahan v. Stutts Construction (Haw. 2021)
Deadline to sueTwo years after the claim accrues; for a car crash, the later of that or two years after the last no-fault or comp payment.Haw. Rev. Stat. §§ 657-7, 431:10C-315, quoted in Darny (Haw. App. 2025)
★ band · US federal frame
$80,000 to $400,000+
Back injury (severe, surgery)
Reported decisions; statutory cap states constrain the upper end

The US band is the starting point. Hawaii's fault rule and any applicable cap then adjust the figure.

★ HI · reported back & spine outcomes

What Hawaii courts have awarded.

Real Hawaii decisions and verdicts, each linked to the court record or official report.

  • Hawaii Intermediate Court of Appeals · 2012
    $307,000 special and $1.7 million general to the estate; $3.4 million punitive

    In January 2001 Arturo Iturralde was scheduled for fusion surgery for spondylolisthesis. Staff never inventoried the kit, and after he had removed parts of the vertebrae, the surgeon learned the rods were missing. He implanted a section of a screwdriver shaft. The jury split fault 65 percent to the surgeon and 35 percent to the hospital. The appeals court vacated the judgment and sent the case back.

  • Hawaii Supreme Court · 2021
    Sent back to the appeals board

    Kenneth Skahan hurt his back at work in November 2004, and his employer accepted the claim for a chest and thoracic strain. In 2012, after leaving the job, he felt mid and low back pain while wading in the ocean and was diagnosed with DISH in the thoracic spine. The board linked the DISH to the 2004 injury but not the low back. The Supreme Court vacated in part and sent the case back.

★ HI · back & spine · in practice

What changes the number here.

What actually moves a back & spine settlement in Hawaii.

  1. 1

    Hospital records such as instrument inventories can decide a surgical case, as in Dolan.

  2. 2

    A back condition found years later can still trace to a work injury; ask the doctor about causation.

  3. 3

    Punitive damages are possible against an individual doctor in Hawaii, but not against the State.

★ HI · statute of limitations
2 years from date of injury

Haw. Rev. Stat. § 657-7

★ HI · fault rule
Modified comparative, 51% bar

Modified comparative, recovery barred at 51% claimant fault.

★ HI · caps

What caps recovery.

Statutory caps that may bear on a back & spine settlement in Hawaii.

★ back & spine severity tiers · US frame

How the band stratifies.

The state-by-state tort law · jury verdict reporters · statutory caps stratifies back & spine into the tiers below. Hawaii courts apply the same tier structure, adjusted for state-specific factors.

Severity tierBandBasis
Back injury (moderate, no surgery)$30,000 to $100,000Reported decisions plus settlement aggregates
Back injury (severe, surgery)$80,000 to $400,000+Reported decisions; statutory cap states constrain the upper end
★ back & spine · same region & fault regime

Compare to like jurisdictions.

How Hawaii's fault rule and limitation period compare to jurisdictions in the same US region and to those running the same fault rule for back & spine claims.

JurisdictionFault ruleLimitationBack & spine page
Hawaii · you are hereModified comparative, 51% bar2 years from date of injury—
IdahoModified comparative, 50% bar2 years from date of injuryID · back & spine →
MontanaModified comparative, 51% bar3 years from date of injuryMT · back & spine →
NevadaModified comparative, 51% bar2 years for personal injury; 3 years for medical malpracticeNV · back & spine →
OregonModified comparative, 51% bar2 years from date of injuryOR · back & spine →
UtahModified comparative, 50% bar4 years for personal injury; 2 years for medical malpracticeUT · back & spine →
WashingtonPure comparative negligence3 years from date of injuryWA · back & spine →
IllinoisModified comparative, 51% bar2 years from date of injuryIL · back & spine →
IndianaModified comparative, 51% bar2 years from date of injuryIN · back & spine →
IowaModified comparative, 51% bar2 years from date of injuryIA · back & spine →
LouisianaModified comparative, 51% bar1 year (la prescription), extended to 2 years by Act 423 (2024) for tort claims accruing on or after July 1, 2024LA · back & spine →
KansasModified comparative, 50% bar2 years from date of injuryKS · back & spine →
KentuckyPure comparative negligence1 year for personal injury (one of the shortest in the US)KY · back & spine →
★ HI · back & spine · frequently asked

Common questions.

Each answer is independently coherent and references the relevant statute or authority document.

★ editorial note

Figures on this page are starting points: the US band adjusted for Hawaii's statutory framework. They are not quotes for any specific case. For representation, consult an attorney admitted in Hawaii. See /methodology, /sources, and /disclaimer.