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United States Markets for Instrumented Spinal Fusion and Posterior Dynamic Stabilization Products
Report #A319 - May 2012
167 Pages – 43 Exhibits – 6 Company Profiles

The growing number of older people living in the United States (U.S.) with age-related degenerative disorders of the spine will continue to play a large part in driving the demand for spinal fusion and posterior dynamic stabilization procedures. It is projected that between the years 2010 and 2020, the population in the U.S. age 65 and older will increase 8.6%, from 309.2 million to 336.0 million.

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).

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 Report# Publication
Date		 List Price

United States Markets for Instrumented Spinal Fusion and Posterior Dynamic Stabilization Products

A319

May 2012

$3,750
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Methodology

Reports are produced exclusively by Medtech Insight, through extensive primary and secondary research among the clinicians, researchers, and competitors in the marketplace, and draw upon the industry expertise of a network of industry insiders. Medtech Insight exhaustively corroborates the data as a baseline for completing forward-looking analysis and providing insight into product, technology and market evolution.

 

TABLE OF CONTENTS

 

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

1.2.2.1 Arthritis

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:      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

2.2.1.1 Instrumented Spinal Fusion

2.2.1.2 Noninstrumented 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 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 

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 STABILIZATION DEVICES MARKET

4.1 Types of Devices

4.1.1 Interspinous Process Spacers

4.1.1.1 Scientific Background

4.1.1.2 Practice Guidelines and Position Statements

4.1.2 Pedicle Screw Posterior Dynamic Stabilization Systems

4.1.2.1 Scientific Background

4.1.3 Facet Replacements

4.1.3.1 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

4.3.1.1 Market Drivers

4.3.1.2 Market Limiters

4.3.2 Pedicle Screw Dynamic Stabilization Market

4.3.2.1 Market Drivers

4.3.2.2 Market Limiters

4.3.3 Facet Replacement Products Market

4.3.4 Combined Market Analysis

4.3.4.1 Market Drivers

4.3.4.2 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

 

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