[The management of cases of "conditional" work fitness due to spinal pathologies in health personnel].

On the basis of the trend in the literature, a process was identified, that uses the results of assessment of exposure to manual handling of patients, in order to practically manage, according to defined priorities, the transfer to other jobs of a large number of cases (about 8-10% of the workforce) that were potentially unfit due to back disorders. Aside from the procedures for clinical classification and grading of the severity of the disorders, which have been dealt with elsewhere, general indications are given for the association of cases of disease with assistance to hospitalised patients according to the spinal involvement required, with appropriate evaluation and classification into different degrees of severity. It is recommended to keep the system of association "cases of disease/workplace" dynamic over time so as to guarantee the best possible working conditions practically and technically achievable, especially for these subjects.