The market was valued at US$ 1.012 billion in 2022 and is expected to reach US$ 1.649 billion by 2030. It is estimated to register a CAGR of 6.3% during the 2022-2030
The pedicle screw market size is growing rapidly due to the increasing prevalence of spinal disorders among adults and the elderly population, technological advancements in pedicle screws, and the rising adoption of pedicle screw devices for degenerative spinal disorders. These devices are employed in pedicle screw fixation in conjunction with spinal fusion surgery providing stability to the spine after surgery. However, the dearth of skilled professionals and lack of proper reimbursement policies limit the pedicle screw market growth to a noticeable extent.
Growth Drivers and Challenges:
The pedicle screw system industry has gained traction owing to the rising elderly population prone to various spinal disorders. This population is more susceptible to spinal disorders such as degenerative disc diseases, osteoarthritis, scoliosis, spinal tumors, and spinal stenosis. As this population ages, the natural wear and tear of the spine can lead to several spinal disorders. Hence, the aging population poses a unique challenge to spine surgeons due to multiple increased frailty, medical comorbidities, decreased nutritional status, and the higher probability of postoperative complications. According to the World Health Organization (WHO) data published in October 2022, low- and middle-income countries would account for approximately 80% of the total elderly population in the world by 2050, and the pace of aging in this population is anticipated to be much faster than that in the past. Pedicle screws are widely used in the treatment of vertebral fracture, vertebral deformity, spinal trauma, spinal tumor, etc. Postoperative vertebral fractures with pedicle screw fixation are relatively common complications. The surgical management of these fractures and spinal disorders often requires pedicle screw fixation. For instance, the surgical management of scoliosis includes decompression of neutral elements and fusion to realign the spinal segment pedicle screw system. Another study published in the International Journal of Clinical and Experimental Medicine in 2020 investigated minimally invasive percutaneous pedicle screw fixation versus open pedicle screw fixation for senile osteoporotic vertebral fracture. It concluded that both open and minimally invasive surgery can provide satisfactory results using pedicle screw fixation. The study also demonstrated that minimally invasive percutaneous pedicle screw fixation is a relatively new treatment type. Hence, the rising adoption of these pedicle screw fixation among these types of surgeries boosts the overall growth of the pedicle screws market.
Strategic Insights Report Segmentation and Scope:
The pedicle screw market is segmented on the basis of product type, application, surgery type, and end user. By product type, the pedicle screw market is divided into polyaxial pedicle screw systems, monoaxial pedicle screw systems, and other pedicle screw systems. The market, based on application, is segmented into thoracolumbar fracture, spinal tumor, scoliosis, failed spine fusion spondylitis. On the basis of surgery type, the pedicle screw market is segmented into open surgery and minimally invasive surgery. On the basis of end user, the pedicle screw market is divided into hospitals, ambulatory surgical centers, and other end user. In terms of geography, the pedicle screw market is segmented into North America (US, Canada, and Mexico), Europe (UK, Germany, France, Italy, Spain, and Rest of Europe), Asia Pacific (China, Japan, India, Australia, South Korea, and Rest of Asia Pacific), the Middle East & Africa (UAE, Saudi Arabia, South Africa, and Rest of Middle East & Africa), and South & Central America (Brazil, Argentina, and Rest of South & Central America).
The pedicle screw market is segmented on the basis of product type, application, surgery type, and end user. By product type, the market is divided into polyaxial pedicle screw systems, monoaxial pedicle screw systems, and other pedicle screw systems. The pedicle screw market, based on application, is segmented into thoracolumbar fracture, spinal tumor, scoliosis, and failed spine fusion spondylitis. On the basis of surgery type, the market is segmented into open surgery and minimally invasive surgery. In terms of end user, the pedicle screw market is divided into hospitals, ambulatory surgical centers, and other end users. In terms of geography, the pedicle screw market is segmented into North America (US, Canada, and Mexico), Europe (UK, Germany, France, Italy, Spain, and Rest of Europe), Asia Pacific (China, Japan, India, Australia, South Korea, and Rest of Asia Pacific), the Middle East & Africa (UAE, Saudi Arabia, South Africa, and Rest of Middle East & Africa), and South & Central America (Brazil, Argentina, and Rest of South & Central America).
Segmental Analysis:
The global pedicle screw market, by product type, is segmented into polyaxial pedicle screw systems, monoaxial pedicle screw systems, and other pedicle screw systems (including uniaxial pedicle screw systems). In 2022, the polyaxial pedicle screw system segment held the largest share of the market. The same segment is estimated to register a significant CAGR during 2022-2030. Polyaxial pedicle screw systems are used in spinal surgeries to stabilize and immobilize the spine. Screws are anchored in the pedicle, which are small bony projections on the vertebral bodies. This type of screw can move in multiple directions, giving surgeons greater flexibility during pedicle placement. In recent years, minimally invasive surgery has been a preferred approach for spinal surgeries using posterior pedicle screw fixation.
In terms of surgery type, the pedicle screw market is bifurcated into open surgeries and minimally invasive surgeries. In 2022, the open surgery segment held a larger share of the market. The minimally invasive surgery segment is estimated to record a higher CAGR during 2022-2030. Minimally invasive surgeries (MIS) have gained traction owing to the rising application of technologically advanced robotic and image-guided (IG) surgeries. The market for the MIS segment is anticipated to grow six times faster as compared to the open surgeries segment during 2022-2030. These surgeries are associated with less damage to the surrounding muscles, lower bleeding, minimum pain, faster recovery, and shorter hospital stays. At present, MIS is considered a common procedure for spinal fusion.
The pedicle screw market, by application type, is segmented into thoracolumbar fracture, spinal tumor, failed spinal fusion, scoliosis, and spondylitis. In 2022, the thoracolumbar fracture segment held the largest share of the market. Thoracolumbar fractures can significantly affect the quality of life, resulting in neurological deficits, deformities, and pain. According to an article published in Orthopaedic Surgery in 2020, spinal fractures account for approximately 32.8/100,000 population, and thoracolumbar fractures account for ~90% of spinal fractures. In addition, nearly 20% of these fractures are burst fractures due to axial pressure. Most of the thoracolumbar fractures occur between T11 and L2, a stress concentration area.
Pedicle Screw Market, by Product - 2022 and 2030
Based on end user, thepedicle screw market is divided into hospitals, ambulatory surgical centers, and specialty clinics. In 2022, the hospitals segment held the largest market share. The specialty clinics segment is expected to register the fastest CAGR of 6.77% during 2022-2030. Pedicle screw fixation systems are routinely used in lumbar, thoracic, and sacral spine surgeries to manage different pathological conditions. Hospitals are a vital part of the development of health systems worldwide. They play an important role in offering support to other healthcare providers. An increasingly large number of hospitals are attaining expertise to perform pedicle screw fixation procedures to treat various spine disorders.
Regional Analysis:
Based on geography, the pedicle screw market is divided into North America, Europe, Asia Pacific, the Middle East & Africa, and South & Central America. North America holds the largest share of the global pedicle screw market. Major market players operating in the US include DePuy Synthes, Stryker, and Intelivation Technologies. These companies engage in product developments and launches to remain competitive in the market. In the US, technologically advanced pedicle screws are widely adopted for various minimally invasive and open surgeries.
Following is the list of major developments undertaken by companies in the pedicle screw ecosystem:
- In May 2023, Intelivation Technologies launched a new minimally invasive pedicle screw system. The Golden Isles is a percutaneous system that improves procedural flexibility and visualization for surgeons, resulting in minimal soft tissue disruption in patients.
- In March 2022, SurGenTec, a US-based privately held company specializing in spine and orthopedic technology, received US FDA approval for its standalone spine fixation implant - the ION Screw.
- In September 2021, Alphatec Holdings, Inc., a innovative solutions vendor dedicated to revolutionizing the approach to spine surgery, launched the InVictus OsseoScrew Expandable Spinal Fixation System.
An increase in the number of cases of lumbar fracture, spinal deformities, and spinal tumors in the US population, and technological advancements in pedicle screws favor the pedicle screw market in North America. Lumbar fracture is the most common spinal fracture, which includes a complex injury and a high disability rate and causes serious psychological and economic stress in patients. Furthermore, the demand for pedicle screw fixation is increasing in Canada with the growing elderly population, a demographic group that is highly prone to several spinal disorders. According to an article published in Canada.ca in 2022, there were ~6.6 million elderly people in Canada, which represents ~17.5% (almost one-fifth) of its overall population. This population is further anticipated to grow and reach one-fourth of the overall population by 2040. Hence, with the rising burden of the aging population, the demand for pedicle screws would increase in Canada to treat the aging population suffering from various spine disorders.
The Asia Pacific pedicle screw market is segmented into China, Japan, India, South Korea, Australia, and the Rest of Asia Pacific. The increasing incidence of degenerative spinal conditions and adoption rate of minimally invasive spinal surgeries, in addition to the rising aging population affected with various spine deformities, are the major factors driving pedicle screw market growth in Asia Pacific. An increased geriatric population prone to various conditions such as osteoporotic fractures and spinal cord injuries due to the aging-related wear and tear of bones and muscles is common in many Asia Pacific countries. According to an article published by Zhi-Meng Wang, Peng Zou, and Jun-Song Yang, low falls were the primary cause of 47.75% of spinal cord injuries in 2020, while high falls were a cause of 37.31% of these injuries; traffic accidents caused 8.98% of spinal cord injuries in China in that year. The increasing number of cases of traumatic spinal cord injuries (TSCI) is another factor propelling the pedicle screw market growth in China. Further, growing efforts to create awareness about treatments for spinal cord injuries benefit the pedicle screw market in Asia Pacific.
Industry Developments and Future Opportunities:
Various initiatives by key players operating in the Pedicle Screw Market are listed below:
- In March 2023, Orthofix Medical Inc. and SeaSpine Holdings Corporation completed their previously announced merger of equals to create a leading global spine and orthopedics company.
- In November 2022, Zimmer Biomet Holdings, Inc. a global medical technology leader, completed its spinoff of ZimVie, Zimmer Biomet's former Dental and Spine business.
- In April 2022, Surgalign Holdings, Inc., received FDA 510(k) approval of the CorteraTM Spinal Fixation System. This new flagship product from Surgalign is a key piece to the foundational portfolio designed to drive the Company’s future growth over the next 10 years and to enable market share gains in the estimated $2.2B US posterior fixation market.
Competitive Landscape and Key Companies:
A few prominent players operating in the pedicle screw market are DePuy Synthes, Zimmer Biomet, Globus Medical Inc., B. Braun Melsungen AG, Stryker Corp, Medtronic PLC, RTI Surgical, Inc., K2M, Inc., Orthofix International N.V. and Alphatec Spine, Inc. These companies focus on new product launches and geographic expansions to meet the growing demands of consumer worldwide by extending their product range in specialty portfolios. Their global presence allows them to serve a large set of customers, subsequently allowing them to expand their market share.
Table of Contents
Companies Mentioned (Partial List)
A selection of companies mentioned in this report includes, but is not limited to:
- DePuy Synthes Inc
- Zimmer Biomet Holdings Inc
- Globus Medical Inc
- Hill-Rom Holdings Inc
- Stryker Corp
- B. Braun SE
- Medtronic Plc
- Surgalign Holdings Inc.
- NuVasive Inc
- Orthofix Medical Inc
- Alphatec Holdings Inc
Table Information
| Report Attribute | Details |
|---|---|
| No. of Pages | 177 |
| Published | September 2023 |
| Forecast Period | 2022 - 2030 |
| Estimated Market Value ( USD | $ 1.01 Billion |
| Forecasted Market Value ( USD | $ 1.64 Billion |
| Compound Annual Growth Rate | 6.3% |
| Regions Covered | Global |
