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U.S. Spinal Surgery Market

Frost & Sullivan, June 2010, Pages: 67


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This research service studies the spinal surgery market in the United States. The market is segmented as total disc arthroplasty, vertebral compression fracture devices, nucleus replacement and spinal fusion markets. It covers the market from the aspects of the driving forces, restraints and challenges, also providing strategic recommendations. Revenue and procedures analysis is provided in the study for a forecast period of 2010-2016. Market share and competitor structure of the market is also discussed. The study also covers the effects on the economic downturn and healthcare reform on the spinal surgery market, with emphasis on how these factors will affect the future of the market. Technology overview is also provided.

The worldwide market for products in spine surgery is poised for strong and sustainable growth through the coming decades as a range of new products, from artificial discs to use of minimally invasive techniques and wealth of osteobiologics find their way into a growing medical practice comprised of an active baby boomer population.

Traditional spine care has focused on standard open spinal surgery/fusion which has greater complications and some morbidity besides a longer convalescence and often poor results. One of the most exciting areas in spinal surgery today is the non-fusion area. Surgeons and engineers are creating devices that can be implanted to treatment various spine conditions without fusion, thus allowing the patient to retain at least some movement and flexibility that would otherwise be lost by fusing vertebrae together. Although fusion is still the gold standard for treatment of conditions such as DDD, non-fusion approaches are gaining in utilization. Non-fusion products including dynamic stabilization devices (or motion preservation devices) and total disc replacement (TDR) are becoming the treatment of choice for the younger more active patients. Non-fusion spine surgery technologies include disc arthroplasty (artificial spinal discs) and nuclear arthroplasty and nuclear disc prostheses (nucleus removal and annular repair devices).

Conservative estimates are that xx% to xx% of present spine fusion surgeries will be replaced by spinal disc arthroplasty (joint replacement). More aggressive prognosticators believe that as much as two-thirds of the current lumbar spinal fusion market will be supplanted by disc replacement or other arthroplasty technologies. While there are many new products and approaches currently in development for spinal fusion surgery, many spine surgeons believe that various forms of artificial disc technologies hold promise for significantly improving the standard of care for many patients.

Like the overall orthopedics market, the spine market is dominated by a handful of large, consolidators, including Biomet, J&J/DePuy, Medtronic, Stryker, Synthes and Zimmer. There are also a number of mid-sized and emerging competitors in the spine market, including companies such as Aesculap, Alphatec, Arthrocare, Globus Medical, Integra Lifesciences, Lanx, Nuvasive, Orthofix, and Pioneer Surgical.

In recent years, many spine companies given the promise of non-fusion technologies have shifted investment away from more mature fusion products. Growth of non-fusion technologies should accelerate once efficacy and reimbursement issues clarify.

Scope and Segmentation:

The total U.S.spinal surgery market has been segmented as follows:

- Total Disc Arthroplasty
- Vertebral Compression Fracture (VCF) Devices market
- Nucleus Disc Replacement market
- Spinal Fusion Market

The study highlights each market segment with an overview of its products and their applicability, as well as price, revenues, procedure, and demand analysis. Traditionally, nucleus disc replacement is included within the disc arthroplasty section. In this study, nucleus disc replacement is studied under as a distinct segment.


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