[Pathologies of the spine correlated to manual handling activities of loads]
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According to the 2010 Annual Report from INAIL (National Institute for Insurance against Accidents at Work), intervertebral disc conditions are the most commonly reported pathologies in Italy, with 9,000 cases/year. The last report published by INAIL in 2016, which covers musculoskeletal and connective tissue disorders in general, indicates 38.414 (63,75% of the total) cases reported throughout 2016 and 12.578 (63.47% of the total) confirmed cases.
These numbers highlight the extent of the problem and calls attention to the importance of characterizing and classifying these cases.
The spinal column itself, because it is a complex and articulated structure, can face pathologies of various origins that may lead to structural and functional deficiencies, event significant ones. This paper sought to extract data for the correct classification
26 and management of these pathologies from greatly varied sources (scientific literature, legislative regulations, INAIL guidelines).
It was revealed that, in regard to lumbar hernial conditions, it must be considered that even simple disc protrusions can lead to significant clinical events by compressing nerve structures. Other than hernial conditions, intervertebral disc pathologies are also included in what is to be considered as the target of manual lifting movements.
As such, without evident signs of disc disease, it would seem problematic to classify the condition as having wok-related origins.
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