U.S Market for Spinal Implants and VCF

  • July 2012
  • -
  • iData Research, Inc.
  • -
  • 450 pages

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.

Table Of Contents

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 and Team Selection 11
Step 2: Prepare Data Systems and Perform Secondary Research 13
Step 3: Preparation for Interviews and 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.. 44
3.6 COMPETITIVE ANALYSIS .. 47
3.7MERGERS, ACQUISITIONS AND BANKRUPTCIES 53
3.7.1 Mergers and Acquisitions . 53
3.7.2 Bankruptcies 56
THE HUMAN SPINE 57
4.1 BASIC ANATOMY.. 57
4.2 SPINAL PATHOLOGY and DISORDERS. 60
4.2.1 Degenerative Disc Disease .. 60
4.2.1.1 Disc Herniation ..60
4.2.1.2 Stenosis 61
4.2.1.3 Spondylolisthesis.61
4.2.1.4 Arthritis61
4.2.2 Spinal Deformities 62
4.2.2.1 Scoliosis ..62
4.2.2.2 Kyphosis and Lordosis.62
4.2.3 Trauma and Tumor .. 62
4.2.4 Vertebral Compression Fractures 63
4.2.4.1 Osteoporosis .63
4.2.4.2 Vertebral Compression Fractures .63
4.3 SPINAL DISORDER TREATMENTS.. 64
4.3.1 Decompression 64
4.3.1.1 Microdecompression.64
4.3.1.2 Laminectomy.64
4.3.2 Discectomy 64
4.3.3 Spinal Fusion .. 65
4.3.4 Corpectomy.. 65
4.3.5 Spinal Arthroplasty .. 65
SPINAL FUSION PROCEDURES 66
5.1 INTRODUCTION .. 66
5.2 INTERBODY FUSION PROCEDURES 67
5.3MINIMALLY INVASIVE INTERBODY FUSION PROCEDURES.. 71
5.4 SPINAL FUSION FIXATION PROCEDURES .. 75
5.5 DISCECTOMY PROCEDURES. 80
CERVICAL FIXATION MARKET. 82
6.1 INTRODUCTION .. 82
6.1.1.1 Anterior Cervical Fixation 83
6.1.1.2 Posterior Cervical Fixation..84
6.1.1.3 Average Selling Prices of Fusion Components84
6.2 PROCEDURES 86
6.2.1 Total Cervical Fixation Procedures 86
6.2.2 Anterior Cervical Fixation Procedures . 88
6.2.3 Posterior Cervical Fixation Procedures 91
6.3MARKET OVERVIEW 94
6.4MARKET ANALYSIS AND FORECAST .. 98
6.4.1 Anterior Cervical Fixation Market .. 98
6.4.1.1 Constrained Anterior Cervical Fixation Market .102
6.4.1.2 Semi-Constrained Anterior Cervical Fixation Market .105
6.4.1.3 Dynamic Anterior Cervical Fixation Market.108
6.4.1.4 Bioresorbable Anterior Cervical Fixation Market .111
6.4.2 Posterior Cervical Fixation Market.. 114
6.4.2.1 Cable/Wiring Posterior Cervical Fixation Market.118
6.4.2.2 Screw/Rod Posterior Cervical Fixation Market ..121
6.4.2.3 Occipitocervical Fixation Market124
6.5MARKET DRIVERS AND LIMITERS . 127
6.5.1 Market Drivers. 127
6.5.2 Market Limiters 128
6.6 COMPETITIVE ANALYSIS 130
THORACOLUMBAR FIXATION MARKET 135
7.1 INTRODUCTION 135
7.1.1.1 Degenerative Thoracolumbar Fixation 136
7.1.1.2 Thoracolumbar Deformity Correction..137
7.1.1.3 Trauma/Tumor Thoracolumbar Fixation 137
7.1.1.4 Average Selling Price of Fusion Components ..137
7.2 PROCEDURES. 138
7.2.1 Total Thoracolumbar Fixation Procedures .. 138
7.2.2 Degenerative Thoracolumbar Fixation Procedures . 141
7.2.3 Thoracolumbar Deformity Correction Procedures .. 145
7.2.4 Trauma/Tumor Thoracolumbar Fixation Procedures . 146
7.3MARKET OVERVIEW. 147
7.4MARKET ANALYSIS AND FORECAST 151
7.4.1 Degenerative Thoracolumbar Fixation Market by Approach . 151
7.4.1.1 Anterior Degenerative Thoracolumbar Fixation Market 155
7.4.1.2 Posterior Degenerative Thoracolumbar Fixation Market..158
7.4.2 Degenerative Thoracolumbar Fixation Market by Levels Treated 161
7.4.2.1 Single-Level Degenerative Thoracolumbar Fixation Market163
7.4.2.2 Double-Level Degenerative Thoracolumbar Fixation Market .165
7.4.2.3 Multi-Level Degenerative Thoracolumbar Fixation Market .167
7.4.3 Thoracolumbar Deformity Correction Market 169
7.4.4 Trauma/Tumor Thoracolumbar Fixation Market.. 172
7.5MARKET DRIVERS AND LIMITERS . 174
7.5.1 Market Drivers. 174
7.5.2 Market Limiters 176
7.6 COMPETITIVE ANALYSIS 178
INTERBODY DEVICE MARKET. 182
8.1 INTRODUCTION 182
8.1.1 Material Type 184
8.1.1.1 Metal..184
8.1.1.2 PEEK .184
8.1.1.3 Machined Bone .185
8.1.1.4 Average Selling Prices of Fusion Components.185
8.2 PROCEDURE NUMBERS 186
8.2.1 Total Interbody Procedures .. 186
8.2.2 Interbody Procedures by Approach.. 187
8.2.2.1 ALIF Procedures .191
8.2.2.2 PLIF Procedures .193
8.2.2.3 TLIF Procedures..195
8.2.2.4 LLIF Procedures..197
8.2.2.5 CIF Procedures 199
8.2.3 Interbody Procedures by Material. 201
8.2.3.1 Metal Interbody Procedures ..205
8.2.3.2 PEEK Interbody Procedures .207
8.2.3.3 Machined Bone Interbody Procedures .209
8.3MARKET OVERVIEW. 211
8.4MARKET ANALYSIS AND FORECAST 213
8.4.1 Interbody Device Market by Approach 213
8.4.1.1 ALIF Market by Material.217
8.4.1.2 PLIF Market by Material.224
8.4.1.3 TLIF Market by Material.231
8.4.1.4 LLIF Market by Material.238
8.4.1.5 Cervical Market by Material .241
8.4.1.6 Corpectomy/Vertebral Body Replacement (VBR) Market ..248
8.4.2 Interbody Device Market by Material.. 250
8.4.2.1 Metal Interbody Device Market by Approach ..254
8.4.2.2 PEEK Interbody Device Market by Approach..258
8.4.2.3 Machined Bone Market by Approach 262
8.4.3 Standalone Interbody Device Market by Approach.. 266
8.5MARKET DRIVERS AND LIMITERS . 270
8.5.1 Market Drivers. 270
8.5.2 Market Limiters 271
8.6 COMPETITIVE ANALYSIS 274
MINIMALLY INVASIVE INTERBODY FUSION MARKET 280
9.1 INTRODUCTION 280
9.1.1 Approach Types .. 281
9.1.1.1 Minimally Invasive PLIF (MIPLIF) ..281
9.1.1.2 Transforaminal Interbody Fusion (MITLIF) .282
9.1.1.3 Lateral Lumbar Interbody Fusion (LLIF) ..282
9.2 PROCEDURE NUMBERS 285
9.2.1 Total MIS Interbody Procedures 285
9.2.2 Total MIS Interbody Procedures by Approach 287
9.3MARKET OVERVIEW. 291
9.4MARKET ANALYSIS AND FORECAST 296
9.4.1 MIPLIF Market 298
9.4.2 MITLIF Market 301
9.4.3 LLIF Market.. 304
9.5MARKET DRIVERS AND LIMITERS . 307
9.5.1 Market Drivers. 307
9.5.2 Market Limiters 308
9.6 COMPETITIVE ANALYSIS 310
MOTION PRESERVATION MARKET 318
10.1 INTRODUCTION . 318
10.1.1.1 Artificial Discs 318
10.1.1.2 Dynamic Stabilization.319
10.1.1.3 Annular Closure.320
10.1.1.4 Nucleus Replacement..320
10.1.1.5 Facet Arthroplasty 321
10.2MARKET OVERVIEW.. 322
10.3MARKET ANALYSIS AND FORECAST . 327
10.3.1 Artificial Disc Market 327
10.3.1.1 Lumbar Artificial Disc Market ..331
10.3.1.2 Cervical Artificial Disc Market .334
10.3.2 Annular Closure Market .. 337
10.3.3 Dynamic Stabilization Market .. 341
10.3.3.1 Interspinous Process Decompression Market 341
10.3.4 Nucleus Replacement Device Market 344
10.3.5 Facet Arthroplasty Market.. 345
10.3.5.1 Emerging Technologies .346
10.4MARKET DRIVERS AND LIMITERS .. 348
10.4.1 Market Drivers.. 348
10.4.2 Market Limiters. 349
10.5 COMPETITIVE ANALYSIS . 352
10.5.1 Leading Competitors.. 352
VERTEBRAL COMPRESSION FRACTURE MARKET.. 357
11.1 INTRODUCTION . 357
11.1.1 Percutaneous Vertebroplasty. 358
11.1.2 Percutaneous Vertebral Augmentation Including Kyphoplasty 359
11.1.3 Effects of New England Journal of Medicine Publication.. 360
11.2 PROCEDURE VOLUMES . 361
11.2.1 Total VCF Procedures .. 361
11.2.2 Percutaneous Vertebral Augmentation Procedures .. 365
11.2.3 Vertebroplasty Procedures . 368
11.3MARKET OVERVIEW.. 370
11.4MARKET ANALYSIS AND FORECAST . 373
11.4.1 Percutaneous Vertebral Augmentation Market 373
11.4.2 Vertebroplasty Market .. 376
11.5MARKET DRIVERS AND LIMITERS .. 379
11.5.1 Market Drivers.. 379
11.5.2 Market Limiters. 380
11.6 COMPETITIVE ANALYSIS . 382
11.6.1 Emerging Products and Technologies in the VCF Market . 387
SPINAL ELECTRICAL STIMULATION MARKET .. 389
12.1 INTRODUCTION . 389
12.2 UNIT VOLUMES. 391
12.3MARKET OVERVIEW.. 395
12.4MARKET ANALYSIS AND FORECAST . 397
12.4.1 Lumbar Electrical Stimulation Market . 397
12.4.2 Cervical Electrical Stimulation Market 400
12.5MARKET DRIVERS AND LIMITERS .. 403
12.5.1 Market Drivers.. 403
12.5.2 Market Limiters. 405
12.6 COMPETITIVE ANALYSIS . 407
ABBREVIATIONS 411

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