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

Abstract

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).

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

  • 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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