ISSN 1028-4427 (Print)

ISSN 2542-131X (Online)

Scientific and practical peer-reviewed medical journal

Founded in 1995 in Kurgan in memory of academician G.A. Ilizarov

Chief Editor: A.V. Gubin, MD

Journal founder: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics of the RF ministry of health

Journal publisher: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics of the RF ministry of health
6, M. Ulyanova street, Kurgan, 640014, Russia

Recommended by the Supreme Attestation Board of Russia: included in the list of leading peer-reviewed scientific journals that publish main scientific results of the theses for scientific degrees of doctor and candidate of medical sciences

The journal is issued quarterly in Russian and English and is distributed in the Russian Federation, CIS countries and other foreign countries.

“Genij Ortopedii” is free for all authors that submit manuscripts.

It is indexed in:  

  • Russian scientific citation index (RINC)
  • VINITI abstracts and database journal (All-Russia Institute for Scientific and Technical Information);
  • EBSCO electronic and information services
  • Ulrich’s Periodicals Directory

 

Articles acquire DOI and are linked to CrossRef system.

 

The electronic version of the journal is located on the sites:

  • Genij Ortopedii site with a free access to the Journal’s achieves (since 1993)
  • Scientific electronic library (http://elibrary.ru/title_about.asp?id=9775 )
  • Scientific electronic library “Ciberleninka” (http://cyberleninka.ru/journal/n/geniy-ortopedii)

 

Since 2013, there is a free mobile application of Genij Ortopedii for iPad and Android based tablets. 

 

 


Journal Homepage Image

Letter from the Editor

 

Vertebrology. Junction of ideas and specialties 

Contemporary medicine includes a great variety of specialties and sub-specialties. Surgical vertebrology started to be formed as a separate specialty at the junction of general surgery, orthopedics and neurosurgery. Complex approaches, unusual for orthopedists and neurosurgeons, were borrowed by vertebrologists from the general surgery. Orthopedics introduced the principles of biomechanics and the art of fixation while neurosurgery the delicacy and jewelry mastery of working with the structures surrounding the spinal cord. In fact, surgical vertebrology, not having officially become a specialty, unites at the present time a number of conditional nosological sub-specialties specializing in correction of deformities in children and adults, oncological diseases, degenerative diseases, destructive lesions, and trauma. At the same time, groups of specialists are singled out that adhere to certain technological approaches: minimally invasive and endoscopic techniques, open access, "cyborgsurgery" that uses only robotic equipment. It is obvious that the development of technology is driven by the industry of high-tech equipment. Therefore, the group of patients with degenerative diseases that is most numerous can be treated today with the use of modern technically advanced equipment that evolves fast and diversely. Thereby, the access to medical care is highly competitive. Unification, stream patterns and technical progress today provide a possible replacement of a specialized assistance with partially or fully robotic solutions. We are separated from this only by ethical and bureaucratic restrictions.

Success, like in many other fields of medicine, will be achieved by the teams that are able to unite specialists, ideas and technologies to solve various problems of vertebrology. While neurosurgeons and orthopedists are discussing the issue of who has a more correct approach to spinal surgery, conservative methods of treatment are developing rapidly. Some of them are positioned as alternative methods, others as stages of rehabilitation. "Conservatives" rely on data on long-term treatment results of degenerative diseases that are similar regardless of the methods used, as well as on the increase in the number of complications, publications about which have been so popular. In any case, the organization of vertebrological care must be built on the principles of evidence-based medicine. This is the main task of domestic and international associations of spinal surgeons that cannot be solved without cooperation with other specialists such as radiologists, neurophysiologists, health care organizers, etc.

The representatives of classical orthopedics have shown an increasing interest in cooperating with vertebrologists. Specialists who widely apply the Ilizarov method in Kurgan and Texas (TSRH for Children) have long and fruitfully used such close cooperation. Recently, the surgeons from the Institute in Miami (Paley Orthopedic and Spine Institute) have joined us. The constructs used by vertebrologists are typical transosseous fixators and internal devices that are capable to produce compression, distraction and complex combinations. The "growing" electromagnetic rods are similar in their operation principle to automatic intramedullary distraction nails. The study of biomechanics shows that limb lengthening changes the sagittal profile of the spine. There is a lot of future research work to study the changes taking place in the spine and paravertebral tissues by lower limb discrepancy and in the process of its elimination with the Ilizarov method. We use neuromonitoring while correcting spinal deformities and complex reconstructive and restorative operations on the limbs.

But most importantly, we have a common pool of patients. It means that we must have friendly treatment programs and achieve consensus in the correction of pathology in patients with certain nosological forms or syndromes that involve in the pathological process not only the spine but also other formations of the musculoskeletal system, and be guided by the philosophy of age, technological and professional continuity!

Alexander V. Gubin

Editor-in-Chief