ABSTRACT
The chronic affections of the rachis lumbar vertebra are a challenge for XXI-th century. Epidemiological observations have to incite us to think about new modalities of coverage. The objective of our work is to discuss the place of the functional treatment in the coverage of occupational accidents lumbar vertebra [ATL] and to analyze new multidisciplinary therapeutic practices. Our study is retrospective concerning 242 files of occupational accidents lumbar vertebra examined by the medical commission of Tunis of the national social security [private sector] authorized to fix the partial permanent incapacity resulting from occupational accidents and from professional diseases during 5 years. We convened subjects having a global rest superior to one year [44 patients], 27 of them are present [61.3%]. These last ones were examined after an average duration of 7, 2 years from the initial ATL. The characteristics of this group of 27 insurants will be compared with those of the 242 victims of ATL. the functional treatment in the two groups is lower than those of the literature. Subjects which did not benefit from rehabilitation leave more in the pension and keep less the same job after occupational accident. Functional rehabilitation is important in the evolution of the ATL and in the improvement of the professional preview