The Pennsylvania Supreme Court has denied a company’s efforts to further reduce a $27 million verdict that had been awarded to a woman who needed four knee surgeries after taping a promotional video showing the success of her initial knee replacement.

The justices on Tuesday declined to take up the appeal in Polett v. Public Communications. The decision keeps in place lower court rulings that previously reduced the verdict to $21.5 million, which included $20.6 for Margo Polett and $900,000 for Daniel Polett.