Keywords : spinal implant, artificial disc
The U.S. spinal implant market is expected to approach $7 billion by 2018. Growth in the motion preservation devices segment will continue to be the largest contributor to the rising spinal implant market. The U.S. market for spinal implants includes: • Traditional cervical and thoracolumbar fixation devices, • Traditional interbody fusion, • Minimally invasive interbody fusion, • Motion preservation, • V...
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The U.S. spinal implant market is expected to approach $7 billion by 2018. Growth in the motion preservation devices segment will continue to be the largest contributor to the rising spinal implant market.
The U.S. market for spinal implants includes:
• Traditional cervical and thoracolumbar fixation devices,
• Traditional interbody fusion,
• Minimally invasive interbody fusion,
• Motion preservation,
• Vertebral compression fracture (VCF) treatment and
• Spinal electrical stimulation
Despite many current challenges, positive growth is expected in many segments of the market, as the patient demographics in the U.S. maintain a steady demand for such procedures. One segment will be an exception however, as newer minimally invasive innovations gradually cannibalize that particular market. The motion preservation segment will be the fastest growing segment in the market, and it will continually be driven by novel and emerging technologies.
Within the U.S. Spinal Implant Market, companies such as DePuy, Medtronic, NuVasive, Stryker, Synthes lead the market, among many others. This report provides a comprehensive and detailed analysis of market revenues by device type, market forecasts through 2018, unit sales, average selling prices, market drivers and limiters and a detailed competitive analysis, including manufacturer market shares and product portfolios. This is an exective summary only, the full report is also available for purchase.
Orthopedic Industry in the United States
TABLE OF CONTENTS.I
LIST OF FIGURES.IX
LIST OF CHARTS.XVII
EXECUTIVE SUMMARY 1
1.1 U.S.MARKET FOR SPINAL IMPLANTS 1
1.2 TREND ANALYSIS BY SEGMENT .. 2
1.3 CERVICAL FIXATION MARKET . 3
1.4 THORACOLUMBAR FIXATION MARKET 4
1.5 TRADITIONAL AND MIS INTERBODY DEVICE MARKETS. 5
1.6MOTION PRESERVATION MARKET.. 6
1.7 VERTEBRAL COMPRESSION FRACTURE MARKET 7
1.8 SPINAL ELECTRICAL STIMULATION MARKET .. 8
1.9 COMPETITIVE ANALYSIS . 9
RESEARCH METHODOLOGY 10
2.1 RESEARCH SCOPE . 10
2.2 IDATA’S 9-STEP METHODOLOGY . 10
Step 1: Project Initiation & Team Selection 11
Step 2: Prepare Data Systems and Perform Secondary Research 13
Step 3: Preparation for Interviews & Questionnaire Design . 14
Step 4: Performing Primary Research 15
Step 5: Research Analysis: Establishing Baseline Estimates . 17
Step 6: Market Forecast and Analysis 18
Step 7: Identify Strategic Opportunities 20
Step 8: Final Review and Market Release 21
Step 9: Customer Feedback and Market Monitoring.. 22
U.S. SPINAL IMPLANT MARKET OVERVIEW. 23
3.1 INTRODUCTION .. 23
3.1.1 Spinal Fusion .. 23
3.1.2 Traditional Interbody Fusion.. 24
3.1.3 Minimally Invasive Interbody Fusion . 26
3.1.4 Motion Preservation 28
3.1.5 Vertebral Compression Fracture (VCF) 31
3.1.6 Electrical Stimulation . 31
3.2MARKET OVERVIEW 33
3.3MARKET BY SEGMENT 35
3.4 TREND ANALYSIS BY SEGMENT 39
3.5MARKET DRIVERS AND LIMITERS 43
3.5.1 Market Drivers 43
3.5.2 Market Limiters.. 45
3.6 COMPETITIVE ANALYSIS .. 47
3.7MERGERS, ACQUISITIONS AND BANKRUPTCIES 53
3.7.1 Mergers and Acquisitions . 53
3.7.2 Bankruptcies 58
THE HUMAN SPINE 59
4.1 BASIC ANATOMY.. 59
4.2 SPINAL PATHOLOGY & DISORDERS. 62
4.2.1 Degenerative Disc Disease .. 62
4.2.1.1 Disc Herniation ..62
4.2.1.2 Stenosis 63
4.2.1.3 Spondylolisthesis.63
4.2.1.4 Arthritis63
4.2.2 Spinal Deformities 64
4.2.2.1 Scoliosis ..64
4.2.2.2 Kyphosis and Lordosis.64
4.2.3 Trauma and Tumor .. 64
4.2.4 Vertebral Compression Fractures 65
4.2.4.1 Osteoporosis .65
4.2.4.2 Vertebral Compression Fractures .65
4.3 SPINAL DISORDER TREATMENTS.. 66
4.3.1 Decompression 66
4.3.1.1 Microdecompression.66
4.3.1.2 Laminectomy.66
4.3.2 Discectomy 66
4.3.3 Spinal Fusion .. 67
4.3.4 Corpectomy.. 67
4.3.5 Spinal Arthroplasty .. 67
SPINAL FUSION PROCEDURES 68
5.1 INTRODUCTION .. 68
5.2 INTERBODY FUSION PROCEDURES 69
5.3MINIMALLY INVASIVE INTERBODY FUSION PROCEDURES.. 73
5.4 SPINAL FUSION FIXATION PROCEDURES .. 77
5.5 DISCECTOMY PROCEDURES. 82
CERVICAL FIXATION MARKET. 84
6.1 INTRODUCTION .. 84
6.1.1.1 Anterior Cervical Fixation 85
6.1.1.2 Posterior Cervical Fixation..86
6.1.1.3 Average Selling Prices of Fusion Components86
6.2 PROCEDURES 88
6.2.1 Total Cervical Fixation Procedures 88
6.2.2 Anterior Cervical Fixation Procedures . 90
6.2.3 Posterior Cervical Fixation Procedures 93
6.3MARKET OVERVIEW 96
6.4MARKET ANALYSIS AND FORECAST 100
6.4.1 Anterior Cervical Fixation Market 100
6.4.1.1 Constrained Anterior Cervical Fixation Market .104
6.4.1.2 Semi-Constrained Anterior Cervical Fixation Market .107
6.4.1.3 Dynamic Anterior Cervical Fixation Market.110
6.4.1.4 Bioresorbable Anterior Cervical Fixation Market .113
6.4.2 Posterior Cervical Fixation Market.. 116
6.4.2.1 Cable/Wiring Posterior Cervical Fixation Market.120
6.4.2.2 Screw/Rod Posterior Cervical Fixation Market ..123
6.4.2.3 Occipitocervical Fixation Market126
6.5MARKET DRIVERS AND LIMITERS . 129
6.5.1 Market Drivers. 129
6.5.2 Market Limiters 130
6.6 COMPETITIVE ANALYSIS 132
THORACOLUMBAR FIXATION MARKET 137
7.1 INTRODUCTION 137
7.1.1.1 Degenerative Thoracolumbar Fixation 138
7.1.1.2 Thoracolumbar Deformity Correction..139
7.1.1.3 Trauma/Tumor Thoracolumbar Fixation 139
7.1.1.4 Average Selling Price of Fusion Components ..139
7.2 PROCEDURES. 140
7.2.1 Total Thoracolumbar Fixation Procedures .. 140
7.2.2 Degenerative Thoracolumbar Fixation Procedures . 143
7.2.3 Thoracolumbar Deformity Correction Procedures .. 147
7.2.4 Trauma/Tumor Thoracolumbar Fixation Procedures . 148
7.3MARKET OVERVIEW. 149
7.4MARKET ANALYSIS AND FORECAST 153
7.4.1 Degenerative Thoracolumbar Fixation Market by Approach . 153
7.4.1.1 Anterior Degenerative Thoracolumbar Fixation Market 157
7.4.1.2 Posterior Degenerative Thoracolumbar Fixation Market..160
7.4.2 Degenerative Thoracolumbar Fixation Market by Levels Treated 163
7.4.2.1 Single-Level Degenerative Thoracolumbar Fixation Market165
7.4.2.2 Double-Level Degenerative Thoracolumbar Fixation Market .167
7.4.2.3 Multi-Level Degenerative Thoracolumbar Fixation Market .169
7.4.3 Thoracolumbar Deformity Correction Market 171
7.4.4 Trauma/Tumor Thoracolumbar Fixation Market.. 174
7.5MARKET DRIVERS AND LIMITERS . 176
7.5.1 Market Drivers. 176
7.5.2 Market Limiters 178
7.6 COMPETITIVE ANALYSIS 180
INTERBODY DEVICE MARKET. 184
8.1 INTRODUCTION 184
8.1.1 Material Type 186
8.1.1.1 Metal..186
8.1.1.2 PEEK .186
8.1.1.3 Machined Bone .187
8.1.1.4 Average Selling Prices of Fusion Components.187
8.2 PROCEDURE NUMBERS 188
8.2.1 Total Interbody Procedures .. 188
8.2.2 Interbody Procedures by Approach.. 189
8.2.2.1 ALIF Procedures .193
8.2.2.2 PLIF Procedures .195
8.2.2.3 TLIF Procedures..197
8.2.2.4 LLIF Procedures..199
8.2.2.5 CIF Procedures 201
8.2.3 Interbody Procedures by Material. 203
8.2.3.1 Metal Interbody Procedures ..207
8.2.3.2 PEEK Interbody Procedures .209
8.2.3.3 Machined Bone Interbody Procedures .211
8.3MARKET OVERVIEW. 213
8.4MARKET ANALYSIS AND FORECAST 215
8.4.1 Interbody Device Market by Approach 215
8.4.1.1 ALIF Market by Material.219
8.4.1.2 PLIF Market by Material.226
8.4.1.3 TLIF Market by Material.233
8.4.1.4 LLIF Market by Material.240
8.4.1.5 Cervical Market by Material .243
8.4.1.6 Corpectomy/Vertebral Body Replacement (VBR) Market ..250
8.4.2 Interbody Device Market by Material.. 252
8.4.2.1 Metal Interbody Device Market by Approach ..256
8.4.2.2 PEEK Interbody Device Market by Approach..260
8.4.2.3 Machined Bone Market by Approach 264
8.4.3 Standalone Interbody Device Market by Approach.. 268
8.5MARKET DRIVERS AND LIMITERS . 272
8.5.1 Market Drivers. 272
8.5.2 Market Limiters 273
8.6 COMPETITIVE ANALYSIS 276
MINIMALLY INVASIVE INTERBODY FUSION MARKET 282
9.1 INTRODUCTION 282
9.1.1 Approach Types .. 283
9.1.1.1 Minimally Invasive PLIF (MIPLIF) ..283
9.1.1.2 Transforaminal Interbody Fusion (MITLIF) .284
9.1.1.3 Lateral Lumbar Interbody Fusion (LLIF) ..284
9.2 PROCEDURE NUMBERS 287
9.2.1 Total MIS Interbody Procedures 287
9.2.2 Total MIS Interbody Procedures by Approach 289
9.3MARKET OVERVIEW. 293
9.4MARKET ANALYSIS AND FORECAST 298
9.4.1 MIPLIF Market 300
9.4.2 MITLIF Market 303
9.4.3 LLIF Market.. 306
9.5MARKET DRIVERS AND LIMITERS . 309
9.5.1 Market Drivers. 309
9.5.2 Market Limiters 310
9.6 COMPETITIVE ANALYSIS 312
MOTION PRESERVATION MARKET 320
10.1 INTRODUCTION . 320
10.1.1.1 Artificial Discs 320
10.1.1.2 Dynamic Stabilization.321
10.1.1.3 Annular Closure.322
10.1.1.4 Nucleus Replacement..322
10.1.1.5 Facet Arthroplasty 323
10.2MARKET OVERVIEW.. 324
10.3MARKET ANALYSIS AND FORECAST . 329
10.3.1 Artificial Disc Market 329
10.3.1.1 Lumbar Artificial Disc Market ..333
10.3.1.2 Cervical Artificial Disc Market .336
10.3.2 Annular Closure Market .. 339
10.3.3 Dynamic Stabilization Market .. 343
10.3.3.1 Interspinous Process Decompression Market 343
10.3.4 Nucleus Replacement Device Market 346
10.3.5 Facet Arthroplasty Market.. 347
10.3.5.1 Emerging Technologies .348
10.4MARKET DRIVERS AND LIMITERS .. 350
10.4.1 Market Drivers.. 350
10.4.2 Market Limiters. 351
10.5 COMPETITIVE ANALYSIS . 354
10.5.1 Leading Competitors.. 354
VERTEBRAL COMPRESSION FRACTURE (VCF) MARKET.. 359
11.1 INTRODUCTION . 359
11.1.1 Percutaneous Vertebroplasty. 360
11.1.2 Percutaneous Vertebral Augmentation Including Kyphoplasty 361
11.1.3 Effects of New England Journal of Medicine Publication.. 362
11.2 PROCEDURE VOLUMES . 363
11.2.1 Total VCF Procedures .. 363
11.2.2 Percutaneous Vertebral Augmentation Procedures .. 367
11.2.3 Vertebroplasty Procedures . 370
11.3MARKET OVERVIEW.. 372
11.4MARKET ANALYSIS AND FORECAST . 375
11.4.1 Percutaneous Vertebral Augmentation Market 375
11.4.2 Vertebroplasty Market .. 378
11.5MARKET DRIVERS AND LIMITERS .. 381
11.5.1 Market Drivers.. 381
11.5.2 Market Limiters. 382
11.6 COMPETITIVE ANALYSIS . 384
11.6.1 Emerging Products and Technologies in the VCF Market . 389
SPINAL ELECTRICAL STIMULATION MARKET .. 391
12.1 INTRODUCTION . 391
12.2 UNIT VOLUMES.... 393
12.3MARKET OVERVIEW.. 397
12.4MARKET ANALYSIS AND FORECAST . 399
12.4.1 Lumbar Electrical Stimulation Market . 399
12.4.2 Cervical Electrical Stimulation Market 402
12.5MARKET DRIVERS AND LIMITERS .. 405
12.5.1 Market Drivers.. 405
12.5.2 Market Limiters. 407
12.6 COMPETITIVE ANALYSIS . 409
ABBREVIATIONS 413
