The minimally invasive spine technology market has recognized strong growth
due to an increasing focus on this segment by manufacturers and physicians and
the continued introduction of new devices
This report uses a number of methodologies to gather and present data and
analysis. At the outset, a large survey of secondary sources is conducted.
These sources act as the basis for the primary research stage, which builds
and enhances the quantitative and qualitative attributes of the early research.
Secondary sources include
government publications, such as documentation from securities
commissions, health care and statistical agencies, and regulatory and patent
material provided by medical technology companies, including annual
reports, product brochures, and corporate profiles;
internal databases and reports, including previous reports on similar or
related topics; and
general Internet searches, medical literature, and newspaper and magazine
searches to identify various centers of specialization and articles that might
provide leads for primary research.
The secondary research stage builds the foundation for the primary research.
The primary research methodology has four steps:
Step 1: The first step involves an impartial scan of all the
information gathered during the secondary research stage to determine its
utility based on the specific requirements of this report. Each piece of
information is either discarded or marked as high- or low-priority and then
organized appropriately as determined by the structure and sectioning of the
Step 2: At this stage, early assumptions are formed as to the
implications of the information for the various market segments. These
assumptions are then used to determine hypotheses using both inductive and
deductive approaches. On the quantitative front, these hypotheses result in
full historical and projected market data sets (market sizes - unit sales,
ASPs, and revenues - as well as market shares).
Step 3: At this stage, the research is in position for its most
important primary phase - expert interviews. Throughout the secondary research
phase, industry and medical experts are identified. These experts are then
contacted by telephone and asked to participate in interviews on recent trends
and developments in the industry. Interviews are either conducted at the time
of the initial call or scheduled at the convenience of the expert. Interview
questions are tailored to the expertise of each particular interviewee,
although in most cases, the most important questions are asked of all experts.
The questions are largely based on the assumptions and hypotheses developed in
Step 2, which are then augmented, discarded, or adjusted based on the views
and positions put forth. Attempts are made, whenever possible, to cross-check
the views of various experts against each other and to reach positions of
consensus on issues and market numbers.
In some cases, a sample of relevant physicians is surveyed or interviewed.
Physicians are asked to comment on various issues and trends, both in their
own practice and in the overall market. The responses provided are then used
to strengthen or augment the assumptions and hypotheses developed during the
primary research phase.
Step 4: The final stage of primary research involves individual and
group analysis by Millennium Research Group. All research results are assessed
and cross-checked thoroughly to determine their validity, relevance, and
weight. From this process, qualitative conclusions are reached and data points
Millennium Research Group's Marketrack methodology involves recruiting
hospital personnel responsible for the management of medical equipment and
procedures to participate by providing procedure volumes, device usage data,
and brand-level pricing information on an ongoing basis. Hospital respondents
include facility managers, nurses, administrators, and physicians. Information
is generally collected on a quarterly basis and includes, but is not limited
to, numbers and types of procedures performed and devices used.
In addition to the research methodology outlined above, the following
"bottom-up" methodology is used to develop forecast assumptions for the report.
A comprehensive breakdown of various procedures and device unit sales is
prepared using data from several sources, including professional associations,
government statistics, and private research/media sources. Industry experts
and practitioners are consulted to ensure accuracy and verify observed trends.
As a cross-check, total industry revenues available through annual reports and
other sources are compared against modeled industry revenues.
Using the best estimates of industry experts, practitioners, private
research/media sources, and inhouse experts, year-by-year growth rates and
ASPs are applied individually to each subcategory to derive forecasts. These
estimates are cross-checked by industry experts (marketing managers, product
managers, company executives, etc.) and further refined.
Overall findings are compared against market and procedure forecasts published
by other sources to ensure reasonable estimates.
Frontier Medical Devices
Johnson & Johnson
Merit Medical Systems
Pioneer Surgical Technology
Providence Medical Technology
Smith & Nephew
Wright Medical Technology
Table of Contents
Table of Contents
TABLE OF CONTENTS
LIST OF FIGURES AND TABLES
1. COUNTRY OVERVIEWS
1.1. Demographics and Economy
1.2. Health Care System
1.3. Regulatory Environment
2. CLINICAL LANDSCAPE
2.1.1. Degenerative Spinal Disorders
220.127.116.11. Herniated Disc
18.104.22.168. Spinal Stenosis
2.1.2. Deformity Spinal Disorders
2.1.3. Trauma/Tumor Spinal Disorders
2.2. Procedure Descriptions
2.2.1. Spinal Fusion
22.214.171.124. Minimally Invasive Spinal Fusion
2.2.2. Facet Fixation
2.2.3. Intradiscal Therapy
2.2.5. Competing Treatments
2.3. Guidelines and Diagnosis Patterns
2.3.1. Diagnosis and Referral Patterns
2.3.2. Clinical Guidelines
3.1. Product Descriptions
3.1.1. Spinal Fusion Implants
126.96.36.199.1. Thoracolumbar Fusion Implants
188.8.131.52.1.1. Pedicle Screw Systems
184.108.40.206.1.2. Anterior Plating Systems
220.127.116.11.1.3. Spinous Process Fixation Devices
18.104.22.168.2. Cervical Fusion Implants
22.214.171.124.2.1. Anterior Cervical Systems
126.96.36.199.2.1.1. Constrained Anterior Plates
188.8.131.52.2.1.2. Semiconstrained Anterior Plates
184.108.40.206.2.1.3. Dynamic Anterior Plates
220.127.116.11.2.1.4. Hybrid Anterior Plates
18.104.22.168.2.2. Posterior Cervical Systems
22.214.171.124.2.2.1. Occipito-Cervico-Thoracic Pedicle Screw Systems
126.96.36.199.2.2.2. Traditional Wiring and Cable Systems