Market Research Report

US Markets for Minimally Invasive Spine Technologies 2013

cover Published by Millennium Research Group
Published Product code 142029
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Introduction

Abstract

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

RESEARCH METHODOLOGY

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 authorities;
  • 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 report.

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 finalized.

MARKETRACK METHODOLOGY

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.

FORECAST METHODOLOGY

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.

Companies Mentionned:

  • Alphatec Spine
  • Amedica
  • ArthroCare
  • Atlas Spine
  • Bauerfeind
  • Baylis Medical
  • B. Braun
  • Biomet
  • Brainlab
  • Captiva Spine
  • ChoiceSpine
  • Clarus Medical
  • Covidien
  • Custom Spine
  • DePuy
  • DePuy Synthes
  • DFINE
  • elliquence
  • Exactech
  • Frontier Medical Devices
  • Globus Medical
  • GS Medical
  • HydroCision
  • Innovasis
  • Integra LifeSciences
  • Interventional Spine
  • Johnson & Johnson
  • K2M
  • Kimberly-Clark
  • Lanx
  • Laurimed
  • Life Spine
  • Mazor Robotics
  • MEDICREA
  • Medtronic
  • Merit Medical Systems
  • minSURG
  • NeuroTherm
  • NuTech
  • NuVasive
  • Orthofix
  • Orthovita
  • Pioneer Surgical Technology
  • Providence Medical Technology
  • Relievant
  • Richard Wolf
  • Safewire
  • SeaSpine
  • Smith & Nephew
  • Solco Biomedical
  • Spinal Elements
  • SpineFrontier
  • SpineGuard
  • Spineology
  • SpineView
  • Stryker
  • Synthes
  • TranS1
  • US Spine
  • VG Innovations
  • Wenzel Spine
  • Wright Medical Technology
  • X-spine
  • Zimmer
  • Zyga Technology

Table of Contents

Table of Contents

TABLE OF CONTENTS

LIST OF FIGURES AND TABLES

EXECUTIVE SUMMARY

1. COUNTRY OVERVIEWS

  • 1.1. Demographics and Economy
  • 1.2. Health Care System
  • 1.3. Regulatory Environment

2. CLINICAL LANDSCAPE

  • 2.1. Background
    • 2.1.1. Degenerative Spinal Disorders
      • 2.1.1.1. Arthritis
      • 2.1.1.2. Herniated Disc
      • 2.1.1.3. Osteoporosis
      • 2.1.1.4. Spinal Stenosis
      • 2.1.1.5. Spondylosis
      • 2.1.1.6. Spondylolisthesis
    • 2.1.2. Deformity Spinal Disorders
      • 2.1.2.1. Scoliosis
      • 2.1.2.2. Lordosis
      • 2.1.2.3. Kyphosis
    • 2.1.3. Trauma/Tumor Spinal Disorders
  • 2.2. Procedure Descriptions
    • 2.2.1. Spinal Fusion
      • 2.2.1.1. Minimally Invasive Spinal Fusion
    • 2.2.2. Facet Fixation
    • 2.2.3. Intradiscal Therapy
    • 2.2.4. Discography
    • 2.2.5. Competing Treatments
  • 2.3. Guidelines and Diagnosis Patterns
    • 2.3.1. Diagnosis and Referral Patterns
    • 2.3.2. Clinical Guidelines

3. PRODUCTS

  • 3.1. Product Descriptions
    • 3.1.1. Spinal Fusion Implants
      • 3.1.1.1. Functions
        • 3.1.1.1.1. Thoracolumbar Fusion Implants
          • 3.1.1.1.1.1. Pedicle Screw Systems
          • 3.1.1.1.1.2. Anterior Plating Systems
          • 3.1.1.1.1.3. Spinous Process Fixation Devices
        • 3.1.1.1.2. Cervical Fusion Implants
          • 3.1.1.1.2.1. Anterior Cervical Systems
            • 3.1.1.1.2.1.1. Constrained Anterior Plates
            • 3.1.1.1.2.1.2. Semiconstrained Anterior Plates
            • 3.1.1.1.2.1.3. Dynamic Anterior Plates
            • 3.1.1.1.2.1.4. Hybrid Anterior Plates
          • 3.1.1.1.2.2. Posterior Cervical Systems
            • 3.1.1.1.2.2.1. Occipito-Cervico-Thoracic Pedicle Screw Systems
            • 3.1.1.1.2.2.2. Traditional Wiring and Cable Systems
        • 3.1.1.1.3. Interbody Fusion Devices
          • 3.1.1.1.3.1. By Implant Design
            • 3.1.1.1.3.1.1. Threaded Interbody Devices
            • 3.1.1.1.3.1.2. Nonthreaded Interbody Devices
          • 3.1.1.1.3.2. By Material
            • 3.1.1.1.3.2.1. Nonbone
            • 3.1.1.1.3.2.2. Machined Bone
          • 3.1.1.1.3.3. By Approach
            • 3.1.1.1.3.3.1. Anterior Lumbar Interbody Fusion
            • 3.1.1.1.3.3.2. Posterior Lumbar Interbody Fusion
            • 3.1.1.1.3.3.3. Transforaminal Lumbar Interbody Fusion
            • 3.1.1.1.3.3.4. Lateral Lumbar Interbody Fusion
            • 3.1.1.1.3.3.5. Cervical Interbody Fusion
          • 3.1.1.1.3.4. Stand-Alone Interbody Devices
          • 3.1.1.1.3.5. Corpectomy Devices
      • 3.1.1.2. Differentiating Features
    • 3.1.2. Facet Fixation Devices
    • 3.1.3. Intradiscal Therapy Devices
    • 3.1.4. Discography Devices

4. CLINICAL TRIALS

  • 4.1. Completed Clinical Trials
  • 4.2. Ongoing Clinical Trials

5. MINIMALLY INVASIVE SPINE TECHNOLOGY MARKET

  • 5.1. Market Snapshot
  • 5.2. Detailed Market Analysis
  • 5.3. Competitive Snapshot
  • 5.4. Detailed Competitive Landscape
  • 5.5. Market Shares
  • 5.6. Recent Events
  • 5.7. Most Promising Emerging Products

6. MINIMALLY INVASIVE SPINAL FUSION MARKET

  • 6.1. Market Snapshot
  • 6.2. Detailed Market Analysis
    • 6.2.1. Access Instrumentation Payment Models (Thoracolumbar and Cervical Fusion Only)
    • 6.2.2. Minimally Invasive Thoracolumbar Traditional Instrumentation Devices
      • 6.2.2.1. By Screw Type
      • 6.2.2.2. By Access Instrumentation Type
        • 6.2.2.2.1. Mini-Open Systems
        • 6.2.2.2.2. Percutaneous Systems
        • 6.2.2.2.3. Tubular Systems
        • 6.2.2.2.4. Distally Expanding Systems
    • 6.2.3. Minimally Invasive Cervical Traditional Instrumentation Devices
    • 6.2.4. Minimally Invasive Trans-Sacral Traditional Instrumentation Devices
    • 6.2.5. Minimally Invasive Interbody Devices
      • 6.2.5.1. By Approach
      • 6.2.5.2. By Material
  • 6.3. Competitive Snapshot
  • 6.4. Detailed Competitive Landscape
  • 6.5. Market Shares

7. FACET FIXATION MARKET

  • 7.1. Market Snapshot
  • 7.2. Detailed Market Analysis
  • 7.3. Competitive Snapshot
  • 7.4. Detailed Competitive Landscape
  • 7.5. Market Shares

8. INTRADISCAL THERAPY MARKET

  • 8.1. Market Snapshot
  • 8.2. Detailed Market Analysis
  • 8.3. Competitive Snapshot
  • 8.4. Detailed Competitive Landscape
  • 8.5. Market Shares

9. DISCOGRAPHY MARKET

  • 9.1. Market Snapshot
  • 9.2. Detailed Market Analysis
  • 9.3. Competitive Snapshot
  • 9.4. Detailed Competitive Landscape
  • 9.5. Market Shares

APPENDIX: METHODOLOGY

APPENDIX: ACRONYMS AND INITIALISMS

APPENDIX: BIBLIOGRAPHY

LIST OF FIGURES AND TABLES

TABLE OF CONTENTS

LIST OF FIGURES AND TABLES

EXECUTIVE SUMMARY

  • Table 1: Minimally Invasive Spine Technology Market Landscape, US (USD), 2012 and 2017
  • Table 2: Minimally Invasive Spine Technology Market Leaders, by Product Type and Revenue, US, 2012
  • Table 3: Companies Mentioned
  • Table 4: Factors Impacting the Minimally Invasive Spine Technology Market, by Product Type, US, 2012 - 2017
  • Table 5: Recent Novel Devices in the Minimally Invasive Spine Technology Market, US, 2012
  • Table 6: Expected Key Events in the US Minimally Invasive Spine Technology Market, US, 2013 - 2017
  • Table 7: Key Report Updates
  • Table 8: Minimally Invasive Spine Procedures Covered, US
  • Table 9: ICD-9-CM Procedure Codes and Descriptions
  • Table 10: Minimally Invasive Spine Technologies Covered, US

1. COUNTRY OVERVIEWS

  • Table 11: Key Health and Economic Indicators, US

2. CLINICAL LANDSCAPE

  • Table 12: Roles of the Spinal Column
  • Table 13: Spinal Fusions, by Procedure Type
  • Table 14: Minimally Invasive Spinal Fusions, by Procedure Type
  • Table 15: Intradiscal Therapies, by Procedure Type
  • Table 16: Competing Treatments
  • Table 17: Spinal Fusion Treatment Guidelines

3. PRODUCTS

  • Table 18: Spinal Fusion Implant Functions, by Product Type
  • Table 19: Advantages and Disadvantages of Thoracolumbar Spinal Fusion Implants, by Approach
  • Table 20: Advantages and Disadvantages of Cervical Spinal Fusion Implants, by Approach
  • Table 21: Advantages and Disadvantages of Anterior Cervical Plates, by Product Type
  • Table 22: Advantages and Disadvantages of IBDs, by Approach
  • Table 23: Advantages and Disadvantages of IBDs, by Material
  • Table 24: Advantages and Disadvantages of Nonbone IBDs, by Material Group

4. CLINICAL TRIALS

  • Table 25: Summary of MIS MiLIF versus Open
  • Table 26: Summary of A Clinical Study of the GO-LIF Approach for Lumbar Spinal Fixation
  • Table 27: Summary of A Randomized Trial Comparing SpineJet Hydrodiscectomy to Open Lumbar
  • Microdiscectomy for Treatment of Lumbar Radiculopathy Due to Disc Herniation
  • Table 28: Summary of Placebo-controlled Trial of Transdiscal Radiofrequency Annuloplasty
  • Table 29: Summary of Minimally Invasive Surgery in Treating Patients With Spinal Tumors
  • Table 30: Summary of Prospective Study of Minimally Invasive Spine Surgery
  • Table 31: Summary of A Prospective Non-concurrent Controlled Evaluation of Open and MAS PLIF

5. MINIMALLY INVASIVE SPINE TECHNOLOGY MARKET

  • Figure 2: Minimally Invasive Spine Technology Market, by Product Type, US (USD), 2011 - 2017
  • Table 32: Factors Impacting the Minimally Invasive Spine Technology Market, by Product Type, US, 2012 - 2017
  • Table 33: Minimally Invasive Spine Procedures, by Procedure Type, US, 2011 - 2017
  • Table 34: Minimally Invasive Spine Technology Market, by Product Type, US (USD), 2011 - 2017
  • Figure 3: Leading Competitors in the Minimally Invasive Spine Technology Market, as a % of Total, US, 2012
  • Table 35: Leading Competitors in the Minimally Invasive Spine Technology Market, by Product Type, as a % of Total, US, 2012
  • Table 36: Recent Events in the Minimally Invasive Spine Technology Market, US
  • Table 37: Emerging Products in Development for the Minimally Invasive Technology Market, US, 2012 - 2017

6. MINIMALLY INVASIVE SPINAL FUSION MARKET

  • Figure 4: Minimally Invasive Spinal Fusion Market, by Product Type, US (USD), 2011 - 2017
  • Table 38: Spinal Fusions, by Technique, US, 2011 - 2017
  • Table 39: Spinal Fusions, by Anatomy, US, 2011 - 2017
  • Table 40: Thoracolumbar Spinal Fusions, by Technique, US, 2011 - 2017
  • Table 41: Cervical Spinal Fusions, by Technique, US, 2011 - 2017
  • Table 42: Minimally Invasive Spinal Fusions, by Anatomy, US, 2011 - 2017
  • Table 43: Minimally Invasive Spinal Fusion Market, by Product Type, US (USD), 2011 - 2017
  • Table 44: Minimally Invasive Traditional Instrumentation Spinal Fusion Market, by Anatomy, US (USD), 2011 - 2017
  • Table 45: Minimally Invasive Traditional Instrumentation Spinal Fusion Market Growth, by Anatomy, US, 2012 - 2017
  • Table 46: Minimally Invasive Traditional Instrumentation Spinal Fusion Market, by Anatomy, as a % of Total, US, 2011 - 2017
  • Table 47: Minimally Invasive Thoracolumbar and Cervical Spinal Fusions, by Access Instrumentation Payment Model, US, 2011 - 2017
  • Table 48: Minimally Invasive Spinal Fusion Access Instrumentation Market, US (USD), 2011 - 2017
  • Table 49: Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusions, by Scope, US, 2011 - 2017
  • Table 50: Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusions, by Indication, as a % of Total, US, 2011 - 2017
  • Table 51: Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusions, by Use of IBDs, US, 2011 - 2017
  • Table 52: Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Screw Type, US (USD), 2011 - 2017
  • Table 53: Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market Growth, by Screw Type, US, 2012 - 2017
  • Table 54: Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Screw Type, as a % of Total, US, 2011 - 2017
  • Table 55: Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusions, by Access Instrumentation Type, US, 2011 - 2017
  • Table 56: Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Access Instrumentation Type, US (USD), 2011 - 2017
  • Table 57: Mini-Open Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Screw Type, US (USD), 2011 - 2017
  • Table 58: Mini-Open Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market Growth, by Screw Type, US, 2012 - 2017
  • Table 59: Mini-Open Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Screw Type, as a % of Total, US, 2011 - 2017
  • Table 60: Percutaneous Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, US (USD), 2011 - 2017
  • Table 61: Tubular Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Screw Type, US (USD), 2011 - 2017
  • Table 62: Tubular Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market Growth, by Screw Type, US, 2012 - 2017
  • Table 63: Tubular Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Screw Type, as a % of Total, US, 2011 - 2017
  • Table 64: Distally Expanding Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Screw Type, US (USD), 2011 - 2017
  • Table 65: Distally Expanding Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market Growth, by Screw Type, US, 2012 - 2017
  • Table 66: Distally Expanding Minimally Invasive Thoracolumbar Traditional Instrumentation Spinal Fusion Market, by Screw Type, as a % of Total, US, 2011 - 2017
  • Table 67: Minimally Invasive Cervical Traditional Instrumentation Spinal Fusion Market, US (USD), 2011 - 2017
  • Table 68: Minimally Invasive Trans-Sacral Traditional Instrumentation Spinal Fusion Market, US (USD), 2011 - 2017
  • Table 69: Minimally Invasive IBD Fusions, by Approach, US, 2011 - 2017
  • Table 70: Minimally Invasive IBD Market, by Approach, US (USD), 2011 - 2017
  • Table 71: Nonbone Minimally Invasive IBD Market, by Approach, US (USD), 2011 - 2017
  • Table 72: Machined Bone Minimally Invasive IBD Market, by Approach, US (USD), 2011 - 2017
  • Table 73: Minimally Invasive IBD Fusions, by Material, US, 2011 - 2017
  • Table 74: Minimally Invasive IBD Market, by Material, US (USD), 2011 - 2017
  • Table 75: Minimally Invasive ALIFs, by Material, US, 2011 - 2017
  • Table 76: Minimally Invasive ALIF Market, by Material, US, 2011 - 2017
  • Table 77: Minimally Invasive ALIF Market Growth, by Material, US, 2012 - 2017
  • Table 78: Minimally Invasive ALIF Market, by Material, as a % of Total, US, 2011 - 2017
  • Table 79: Minimally Invasive PLIFs, by Material, US, 2011 - 2017
  • Table 80: Minimally Invasive PLIF Market, by Material, US, 2011 - 2017
  • Table 81: Minimally Invasive PLIF Market Growth, by Material, US, 2012 - 2017
  • Table 82: Minimally Invasive PLIF Market, by Material, as a % of Total, US, 2011 - 2017
  • Table 83: Minimally Invasive TLIFs, by Material, US, 2011 - 2017
  • Table 84: Minimally Invasive TLIF Market, by Material, US, 2011 - 2017
  • Table 85: Minimally Invasive TLIF Market Growth, by Material, US, 2012 - 2017
  • Table 86: Minimally Invasive TLIF Market, by Material, as a % of Total, US, 2011 - 2017
  • Table 87: Minimally Invasive LLIFs, by Material, US, 2011 - 2017
  • Table 88: Minimally Invasive LLIF Market, by Material, US, 2011 - 2017
  • Table 89: Minimally Invasive LLIF Market Growth, by Material, US, 2012 - 2017
  • Table 90: Minimally Invasive LLIF Market, by Material, as a % of Total, US, 2011 - 2017
  • Figure 5: Leading Competitors in the Minimally Invasive Spinal Fusion Market, as a % of Total, US, 2012
  • Table 91: Leading Competitors in the Minimally Invasive Spinal Fusion Market, as a % of Total, US, 2012

7. FACET FIXATION MARKET

  • Figure 6: Facet Fixation Market, US (USD), 2011 - 2017
  • Table 92: Facet Fixation Procedures, by Material, as a % of Total, US, 2011 - 2017
  • Table 93: Facet Fixation Procedures, by Anatomy, as a % of Total, US, 2011 - 2017
  • Table 94: Facet Fixation Market, US (USD), 2011 - 2017
  • Figure 7: Leading Competitors in the Facet Fixation Market, as a % of Total, US, 2012
  • Table 95: Leading Competitors in the Facet Fixation Market, as a % of Total, US, 2012

8. INTRADISCAL THERAPY MARKET

  • Figure 8: Intradiscal Therapy Market, US (USD), 2011 - 2017
  • Table 96: Intradiscal Therapy Market, US (USD), 2011 - 2017
  • Figure 9: Leading Competitors in the Intradiscal Therapy Market, as a % of Total, US, 2012
  • Table 97: Leading Competitors in the Intradiscal Therapy Market, as a % of Total, US, 2012

9. DISCOGRAPHY MARKET

  • Figure 10: Discography Market, by Product Type, US (USD), 2011 - 2017
  • Table 98: Discography Procedures, by Product Type, US, 2011 - 2017
  • Table 99: Discography Market, by Product Type, US (USD), 2011 - 2017
  • Table 100: Discography Market Growth, by Product Type, US, 2012 - 2017
  • Table 101: Discography Market, by Product Type, as a % of Total, US, 2011 - 2017
  • Figure 11: Leading Competitors in the Discography Market, as a % of Total, US, 2012
  • Table 102: Leading Competitors in the Discography Market, by Product Type, as a % of Total, US, 2012

APPENDIX: METHODOLOGY

APPENDIX: ACRONYMS AND INITIALISMS

  • Table 103: Acronyms and Initialisms

APPENDIX: BIBLIOGRAPHY

US Markets for Minimally Invasive Spine Technologies 2013 published by Millennium Research Group in December 18, 2012. This report price starts from US $ 6195.

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