On 26 January 1998, Mr Botha, a police officer, was injured in a motor vehicle collision while on duty, suffering a whiplash injury and muscle spasms. He had a prior medical history of spinal injuries dating back to 1995/1996 when he suffered a neck injury during police training, which was diagnosed as a spinal stroke. He underwent his first spinal fusion in November 1997, returning to work after only one month. The motor vehicle collision occurred less than three months after this first surgery. In March 1998, two months after the accident, he underwent a second cervical spine fusion. Mr Botha subsequently underwent multiple additional surgeries including ankle fusions and coccyx excision. Medical reports from 2000 onwards found him permanently incapacitated and unfit to work. Despite medical evidence confirming permanent disablement, the Commissioner refused compensation in January 2014, incorrectly stating that Dr Rossouw had found no permanent disability. The Tribunal dismissed Mr Botha's objection, finding he had not rebutted the conclusion that his disablement was due to pre-existing degenerative conditions rather than the on-duty accident. The High Court reversed the Tribunal's decision and declared Mr Botha 60% permanently disabled. Both parties appealed to the Supreme Court of Appeal.