Instrumented spinal fusion and posterior dynamic stabilization procedures generated an estimated $2,403.2 million in corresponding product sales in the U.S. in 2011. It is expected that during the forecast period covered by this report, sales of instrumented spinal fusion and posterior dynamic stabilization implants in the U.S. will increase at a compound annual rate of 3.0%, reaching an estimated $2,790.0 million in the year 2016.
This dynamic, new report from Medtech Insight includes analyses of products, current and forecast markets, competitors, and opportunities for suppliers of instrumented spinal fusion and posterior dynamic stabilization products to the U.S.
This report includes an overview of spinal disorders and available treatment options as well as an analysis of the U.S. markets for spinal fusion instrumentation products (including anterior column plating systems, interbody fusion devices, and posterior spinal fixation implants) and posterior dynamic stabilization products (including interspinous process spacers, pedicle screw systems, and facet replacement technologies).
EXECUTIVE SUMMARY i. Spinal Fusion Procedure Volumes ii. Instrumented Spinal Fusion Devices Market iii. Posterior Dynamic Stabilization Products Market iv. Combined Market Forecast a. Market Drivers b. Market Limiters v. Methodology Exhibit ES-1: United States Population, by Selected Ages, 1990-2050 Exhibit ES-2: Spinal Fusion, Procedure Volumes Forecast, 2010-2016 Exhibit ES-3: Spinal Fusion Instrumentation, Combined Market Forecast, 2010-2016 Exhibit ES-4: Posterior Dynamic Stabilization Products, Combined Market Forecast, 2010-2016 Exhibit ES-5: Instrumented Spinal Fusion and Posterior Dynamic Stabilization Devices, Combined Market Forecast, 2010-2016 1. CLINICAL OVERVIEW 1.1 Spinal Anatomy 1.2 Selected Spinal Disorders 1.2.1 Disc Herniation 1.2.2 Degenerative Disc Disease 22.214.171.124 Arthritis 126.96.36.199 Osteoporosis 188.8.131.52 Spondylosis 1.2.3 Abnormal Curvature of the Spine 184.108.40.206 Scoliosis 220.127.116.11 Kyphosis and Lordosis 1.2.4 Spondylolisthesis 1.2.5 Stenosis 1.2.6 Spinal Tumors 1.2.7 Traumatic Spinal Injuries 1.2.8 Vertebral Fractures Exhibit 1-1: The Human Spine Exhibit 1-2: Herniated Disc 2. TREATMENT OPTIONS AND MARKET DYNAMICS 2.1 Spinal Decompression 2.1.1 Corpectomy 2.1.2 Discectomy 2.1.3 Facetectomy 2.1.4 Foraminotomy/Foraminectomy 2.1.5 Laminotomy/Laminectomy 2.2 Spinal Fusion 2.2.1 Instrumented versus Noninstrumented Spinal Fusion 18.104.22.168 Instrumented Spinal Fusion 22.214.171.124 Noninstrumented Spinal Fusion 2.2.2 Cervical Fusion 126.96.36.199 Anterior Cervical Fusion 188.8.131.52 Posterior Cervical Fusion 2.2.3 Interbody Fusion 2.2.4 Lumbar Fusion 184.108.40.206 Anterior Lumbar Interbody Fusion 220.127.116.11 Posterior Lumbar Interbody Fusion 18.104.22.168 Transforaminal Lumbar Interbody Fusion 2.2.5 Posterolateral Fusion 2.2.6 360-Degree Fusion 2.2.7 Thoracic and Thoracolumbar Fusion 2.2.8 Percutaneous or Minimally Invasive Fusion 2.3 Posterior Dynamic Stabilization 2.4 Market Dynamics 2.4.1 Population Demographics 2.4.2 Medicare Reimbursement 2.4.3 Procedure Volumes Forecast Exhibit 2-1: Anatomy of a Spinal Segment Exhibit 2-2: Noninstrumented Spinal Fusion Exhibit 2-3: United States Population Growth Trends Exhibit 2-4: Spinal Fusion Diagnosis-Related Groups and Associated Medicare Reimbursement Exhibit 2-5: Spinal Fusion, Procedure Volumes Forecast, 2010-2016 3. SPINAL FUSION INSTRUMENTATION MARKET 3.1 Anterior Column Plating Systems 3.1.1 Products 3.1.2 Market Analysis 3.2 Interbody Fusion Devices 3.2.1 Products 3.2.2 Market Analysis 3.3 Posterior Spinal Fixation Devices 3.3.1 Pedicle Screw Fixation Products 3.3.2 Pedicle Screw Systems, Market Analysis 3.4 Spinal Fusion Instrumentation, Combined Market Analysis 3.4.1 Market Drivers 3.4.2 Market Limiters 3.5 Spinal Fusion Instrumentation, Competitive Analysis Exhibit 3-1: An Anterior Column Plate and Screw System Exhibit 3-2: Classification of Anterior Column Plating Systems Exhibit 3-3: 2012, Selected Anterior Column Plating Systems Exhibit 3-4: Anterior Column Plating Systems, Market Forecast, 2010-2016 Exhibit 3-5: Anterior Column Plating Systems, Segment Revenues as a Percentage of the Total Market Exhibit 3-6: Interbody Fusion Devices Exhibit 3-7: 2012, Selected Interbody Fusion Devices Exhibit 3-8: Interbody Fusion Devices, Market Forecast, 2010-2016 Exhibit 3-9: Interbody Fusion Devices, Segment Revenues as a Percentage of the Total Market Exhibit 3-10: Pedicle Screw System Exhibit 3-11: 2012, Selected Posterior Spinal Fixation Devices Exhibit 3-12: Pedicle Screw Systems, Market Forecast, 2010-2016 Exhibit 3-13: Pedicle Screw Systems, Segment Revenues as a Percentage of the Total Market Exhibit 3-14: Spinal Fusion Instrumentation, Combined Market Forecast, 2010-2016 3-41 Exhibit 3-15: Spinal Fusion Instrumentation, Segment Revenues as a Percentage of the Total Market Exhibit 3-16: 2011, Spinal Fusion Instrumentation Market, Share by Supplier 4. POSTERIOR DYNAMIC STABILIZTION DEVICES MARKET 4.1 Types of Devices 4.1.1 Interspinous Process Spacers 22.214.171.124 Scientific Background 126.96.36.199 Practice Guidelines and Position Statements 4.1.2 Pedicle Screw Posterior Dynamic Stabilization Systems 188.8.131.52 Scientific Background 4.1.3 Facet Replacements 184.108.40.206 Scientific Background 4.2 Products 4.2.1 Interspinous Process Spacers 4.2.2 Pedicle Screw Dynamic Stabilization Products 4.2.3 Facet Replacement Products 4.3 Dynamic Stabilization Products Market Analysis 4.3.1 Interspinous Process Spacers Market 220.127.116.11 Market Drivers 18.104.22.168 Market Limiters 4.3.2 Pedicle Screw Dynamic Stabilization Market 22.214.171.124 Market Drivers 126.96.36.199 Market Limiters 4.3.3 Facet Replacement Products Market 4.3.4 Combined Market Analysis 188.8.131.52 Market Drivers 184.108.40.206 Market Limiters Exhibit 4-1: Anatomic Changes Achieved by Posterior Dynamic Stabilization Devices Exhibit 4-2: The X-STOP Interspinous Process Spacer Exhibit 4-3: 2012, Selected Interspinous Process Spacers Under Development Exhibit 4-4: Images of Interspinous Process Spacers Under Development Exhibit 4-5: 2012, Selected 510(k)-Approved Pedicle Screw Dynamic Stabilization Devices Exhibit 4-6: Images of 510(k)-Approved Pedicle Screw Dynamic Stabilization Devices Exhibit 4-7: 2012, Pedicle Screw Dynamic Stabilization Systems, Status of 522 Postmarket Surveillance Studies Exhibit 4-8: 2012, Selected Pedicle Screw Dynamic Stabilization Devices Under Development Exhibit 4-9: Images of Pedicle Screw Dynamic Stabilization Devices Under Development Exhibit 4-10: 2012, Selected Facet Replacement Products Under Development Exhibit 4-11: Images of Facet Replacement Products Under Development Exhibit 4-12: Interspinous Process Spacers, Market Forecast, 2010-2016 Exhibit 4-13: Pedicle Screw Products, Market Forecast, 2010-2016 Exhibit 4-14: Facet Replacement Products, Market Forecast, 2010-2016 Exhibit 4-15: Posterior Dynamic Stabilization Products, Combined Market Forecast, 2010-2016 5. COMPANY PROFILES 5.1 Globus Medical, Inc. 5.2 Johnson & Johnson 5.3 Medtronic, Inc. 5.4 Stryker Corporation 5.5 Synthes, Inc. 5.6 Zimmer Holdings, Inc. Appendix: Company Listing