In 2006, more than $1.8 billion was spent on spinal fixation and dynamic stabilization devices in the United States (U.S.).  Sales of these products are expected to grow at a compound annual rate of 10.4% during the forecast period covered by this report, reaching more than $3.2 billion in the year 2012.

This dynamic report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities in the U.S. spinal fusion and dynamic stabilization products market.  These products are used to treat a range of spinal disorders including abnormal curvature of the spine, degenerative disc disease, disc herniation, spondylosis, stenosis, tumors, and vertebral fractures.  Incidence of spine disorders totaled approximately 75,000 in 2006.  Back pain is the second most common medical condition for which individuals seek treatment, accounting for more than 50 million physician office visits annually in the U.S.  It is estimated that more than 75% of the entire U.S. population will be affected by low back pain over the course of their lifetime.  

Covered topics in this report include traditional spinal fixation products such as anterior plates and screws, interbody fusion devices, and pedicle screws; as well as dynamic stabilization products including interspinous spacers, facet replacements, and pedicle screw-based systems.

TABLE OF CONTENTS AND LIST OF EXHIBITS

EXECUTIVE SUMMARY

i.   Clinical Overview

ii.   Instrumented Spinal Fusion Devices Market

iii.  Dynamic Stabilization Devices Market

iv.  Combined Market Forecast

v.  Methodology

Exhibit ES-1:  Instrumented Spinal Fusion Devices, Combined Market Forecast, 2005-2012

Exhibit ES-2:  Dynamic Stabilization Products, Combined Market Forecast, 2005-2012

Exhibit ES-3:  Instrumented Spinal Fusion and Dynamic Stabilization Devices, Combined Market Forecast, 2005-2012

CLINICAL OVERVIEW

1.1 Spinal Anatomy

1.2 Selected Spinal Disorders

1.2.1 Disc Herniation

1.2.2 Degenerative Disc Disease

1.2.2.1 Arthritis

1.2.2.1.1 Osteoarthritis

1.2.2.1.2 Rheumatoid Arthritis

1.2.2.1.3 Ankylosing Spondylitis

1.2.2.2 Osteoporosis

1.2.2.3 Spondylosis

1.2.3 Abnormal Curvature of the Spine

1.2.3.1 Scoliosis

1.2.3.2 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:    Incidence of Spinal Disorders,

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

2.2.1.1 Noninstrumented Spinal Fusion

2.2.1.2 Instrumented Spinal Fusion

2.2.2 Cervical Fusion

2.2.2.1 Anterior Cervical Fusion

2.2.2.2 Posterior Cervical Fusion

2.2.3 Interbody Fusion

2.2.4 Lumbar Fusion

2.2.4.1 Anterior Lumbar Interbody Fusion

2.2.4.2 Posterior Lumbar Interbody Fusion

2.2.4.3 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 Dynamic Fixation

2.4 Market Dynamics

2.4.1 Population Demographics

2.4.2 Third-Party Payers

2.4.3 The Centers for Medicare & Medicaid Services

2.4.4 Federal Oversight of Physician/Corporate Relationships

2.4.5 Procedure Volumes Forecast

Exhibit 2-1: Noninstrumented Spinal Fusion

Exhibit 2-2: Noninstrumented Spinal Fusion, Procedure Volumes, 1995 to 2011

Exhibit 2-3: United States Population Growth Trends

Exhibit 2-4: Combined Anterior/Posterior Spinal Fusion, Average Medicare Reimbursement Levels, Diagnosis-Related Group 496

Exhibit 2-5: Spinal Fusion (Excluding Cervical with Complications and/or Comorbidities), Average Medicare Reimbursement Levels, Diagnosis-Related Group 497

Exhibit 2-6: Spinal Fusion (Excluding Cervical without Complications and/or Comorbidities), Average Medicare Reimbursement Levels, Diagnosis-Related Group 498

Exhibit 2-7: Cervical Spinal Fusion with Complications and/or Comorbidities, Average Medicare Reimbursement Levels, Diagnosis-Related Group 519

Exhibit 2-8: Cervical Spinal Fusion without Complications and/or Comorbidities, Average Medicare Reimbursement Levels, Diagnosis-Related Group 520

Exhibit 2-9: Spinal Fusion, Procedure Volumes Forecast, 2005-2012

3. INSTRUMENTED SPINAL FUSION DEVICES MARKET

3.1 Anterior Cervical Plate 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 Posterior Cervical Fixation Products

3.3.2.1 Market Analysis

3.4 Instrumented Spinal Fusion Devices, Combined Market Analysis

3.5 Competitive Analysis

Exhibit 3-1:    Anterior Plate and Screw System

Exhibit 3-2:    Anterior Cervical Plate Design Classifications

Exhibit 3-3:    2007, Selected Anterior Cervical Plate and Screw Fixation Devices

Exhibit 3-4:    Standard Anterior Plating Systems, Market Forecast, 2005-2012

Exhibit 3-5:    Interbody Fusion Devices

Exhibit 3-6:    2007, Selected Interbody Fusion Devices

Exhibit 3-7:    Standard Interbody Fusion Devices, Market Forecast, 2005-2012

Exhibit 3-8:    Pedicle Screw Devices

Exhibit 3-9:    2007, Selected Posterior Spinal Fixation Devices

Exhibit 3-10:  Pedicle Screw Systems, Market Forecast, 2005-2012

Exhibit 3-11:  Instrumented Spinal Fusion Devices, Combined Market Forecast, 2005-2012

Exhibit 3-12:  Instrumented Spinal Fusion Devices, Segment Revenues as a Percentage of the Total Market

Exhibit 3-13:  2006, Instrumented Spinal Fusion Devices Market, Share by Supplier

4. DYNAMIC STABILIZATION DEVICES MARKET

4.1 Types of Devices

4.1.1 Interspinous Process Spacers

4.1.2 Pedicle Screw-Based Posterior Dynamic Stabilization Systems

4.1.3 Facet Replacement Products

4.2 Products

4.2.1 Interspinous Process Spacers

4.2.2 Pedicle Screw-Based Posterior Dynamic Stabilization Products

4.2.3 Facet Replacement Products

4.3 Market Analysis

4.3.1 Interspinous Process Spacers Market

4.3.2 Pedicle Screw-Based Posterior Dynamic Stabilization Products Market

4.3.3 Facet Arthroplasty Dynamic Stabilization Products Market

4.3.4 Combined Market Analysis

Exhibit 4-1:    Anatomic Changes Achieved by Dynamic Stabilization Devices

Exhibit 4-2:    2007, Selected Interspinous Process Spacers

Exhibit 4-3:    The X-STOP Interspinous Process Spacer

Exhibit 4-4:    2007, Selected Pedicle Screw-Based Dynamic Stabilization Devices

Exhibit 4-5:    The Dynesys Dynamic Stabilization System

Exhibit 4-6:    2007, Selected Facet Replacement Devices

Exhibit 4-7:    The Total Facet Arthroplasty System

Exhibit 4-8:    Interspinous Process Spacers, Market Forecast, 2005-2012

Exhibit 4-9:    Pedicle Screw-Based Dynamic Stabilization Devices, Market Forecast, 2005-2012

Exhibit 4-10:  Facet Arthroplasty Dynamic Stabilization Systems, Market Forecast, 2005-2012

Exhibit 4-11:  Dynamic Stabilization Products, Combined Market Forecast, 2005-2012

5. COMPANY PROFILES

5.1     Abbott Spine/Abbott Laboratories

5.2     Alphatec Spine, Inc./Alphatec Holdings, Inc.

5.3     Biomet, Inc.

5.4     Globus Medical, Inc.

5.5     DePuy Spine, Inc./Johnson & Johnson

5.6     Kyphon, Inc.

5.7     Medtronic Sofamor Danek, Inc./Medtronic, Inc.

5.8     Blackstone Medical, Inc./Orthofix International NV

5.9     Paradigm Spine LLC

5.10    Stryker Spine/Stryker Corporation

5.11    Synthes Spine/Synthes, Inc.

5.12    Zimmer Holdings, Inc.

APPENDIX:  COMPANY LISTING

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