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Dynamic Spinal Tethering System Market - Global Industry Size, Share, Trends Opportunity, and Forecast, 2028F

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    Report

  • 175 Pages
  • October 2023
  • Region: Global
  • TechSci Research
  • ID: 5900226
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Global Dynamic Spinal Tethering System Market is Anticipated to Project Impressive Growth in the Forecast Period

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Global Dynamic Spinal Tethering System Market is anticipated to project impressive growth in the forecast period. A dynamic spinal tethering system is an apparatus utilized to align the spinal columns of individuals afflicted with scoliosis, kyphosis, and various other forms of spinal deformities. These systems are specifically tailored for adult patients experiencing severe or advancing conditions that are not amenable to surgical intervention.

Key Market Drivers

Growing Prevalence of Spinal Deformities

The global healthcare landscape is witnessing a significant surge in the prevalence of spinal deformities, a condition that affects millions of people worldwide. Spinal deformities, such as scoliosis and kyphosis, can lead to debilitating pain and discomfort, affecting the quality of life for those afflicted. In response to this growing health concern, the global dynamic spinal tethering system market has emerged as a vital player, offering a less invasive and effective solution for treating spinal deformities.

One of the most significant factors fueling the growth of the dynamic spinal tethering system market is the alarming increase in the prevalence of spinal deformities. This trend is not confined to any specific region, affecting populations worldwide. Factors such as lifestyle changes, sedentary habits, and genetic predisposition contribute to the rise in these conditions.

Traditionally, spinal deformity treatments were associated with adolescents. However, there is a growing trend of spinal deformities affecting adults as well. This expanded target demographic provides a substantial growth opportunity for dynamic spinal tethering systems. These systems are specifically designed to address the needs of adult patients with severe or progressive spinal deformities that may not respond well to conventional treatments.

Advances in medical imaging technologies and increased awareness of spinal deformities have led to earlier and more accurate diagnoses. As a result, patients and healthcare providers are now more informed about treatment options, including dynamic spinal tethering systems. This increased awareness is driving demand for these innovative solutions.

Patients today are more inclined towards minimally invasive surgical procedures that promise quicker recovery times and reduced post-operative pain. Dynamic spinal tethering systems align with this preference by offering a less invasive alternative to traditional spinal fusion surgery, making them an attractive option for those seeking relief from spinal deformities.

Clinical studies and research have demonstrated the effectiveness and safety of dynamic spinal tethering systems. Patients who have undergone these procedures often report improved quality of life, reduced pain, and enhanced spinal alignment. Such positive outcomes contribute to the growing popularity of these systems.

The global healthcare system is adapting to accommodate innovative treatments like dynamic spinal tethering. Healthcare facilities and surgical teams are increasingly equipped and trained to perform these procedures, ensuring that patients have access to these treatments.

Advancements in Medical Technology

In today's rapidly evolving healthcare landscape, the intersection of innovation and medical technology is reshaping treatment options for a wide range of medical conditions. This is particularly evident in the case of spinal deformities, such as scoliosis and kyphosis, where advancements in medical technology are playing a pivotal role in driving the growth of the global dynamic spinal tethering system market.

One of the keyways advancements in medical technology are driving growth in the dynamic spinal tethering system market is through precise and early diagnosis. High-resolution imaging techniques, including magnetic resonance imaging (MRI) and computed tomography (CT) scans, enable healthcare professionals to detect spinal deformities with unprecedented accuracy. This early detection leads to more timely interventions and increased demand for treatment options like dynamic spinal tethering.

Three-dimensional (3D) imaging and surgical planning tools have revolutionized the way spinal deformity surgeries are approached. Surgeons can now create intricate 3D models of a patient's spine, allowing for personalized treatment plans. This level of precision reduces the margin for error during surgery and enhances patient outcomes, making dynamic spinal tethering systems a more attractive option.

Medical technology has given rise to minimally invasive surgical techniques, which are favored by both surgeons and patients. Dynamic spinal tethering systems leverage these techniques to minimize the invasiveness of spinal procedures, resulting in shorter hospital stays, faster recovery times, and reduced post-operative pain. These factors make the procedure more appealing to a broader patient population.

Advances in material science have led to the development of biocompatible and durable materials used in dynamic spinal tethering systems. These materials ensure long-term stability and compatibility within the body, reducing the likelihood of complications and the need for revision surgeries.

Intraoperative monitoring and navigation technologies allow surgeons to track and adjust the placement of spinal implants in real-time. This level of precision enhances the safety and efficacy of dynamic spinal tethering procedures, instilling confidence in both surgeons and patients.

Minimal Invasiveness and Reduced Recovery Time

In the realm of healthcare, advancements are continually being made to enhance patient outcomes and minimize the disruption caused by surgical procedures. Nowhere is this more evident than in the global dynamic spinal tethering system market. This market is experiencing significant growth, and a primary driving force behind this expansion is the appeal of minimal invasiveness and reduced recovery time offered by these innovative procedures.

Traditional spinal surgeries, such as spinal fusion, involve significant tissue disruption and extensive incisions. In contrast, dynamic spinal tethering systems offer a minimally invasive approach. Smaller incisions result in less trauma to surrounding tissues, reduced blood loss, and a lower risk of infection. This less invasive approach is appealing to both patients and surgeons.

Dynamic spinal tethering procedures typically require shorter hospital stays compared to traditional surgeries. Patients can often go home within a day or two after the procedure, as opposed to the longer hospitalization associated with spinal fusion. This reduced hospitalization time contributes to lower healthcare costs and minimizes the burden on healthcare facilities.

One of the most compelling factors driving the growth of the dynamic spinal tethering system market is the significantly faster recovery times experienced by patients. Patients can return to their normal activities and routines more quickly, which is especially appealing to those with busy lives or responsibilities. This rapid recovery is a major selling point for dynamic spinal tethering systems.

Minimal invasiveness translates into reduced post-operative pain. Patients undergoing dynamic spinal tethering procedures often report less discomfort and pain compared to traditional spinal surgeries. This factor is not only vital for patient comfort but also contributes to the overall positive experience and perception of the procedure.

The minimally invasive nature of dynamic spinal tethering systems leads to lower complication rates. Reduced surgical trauma and a smaller risk of infection result in fewer adverse events during recovery. This increased safety profile further enhances the attractiveness of these procedures.

Patients who opt for dynamic spinal tethering systems tend to express higher levels of satisfaction with their treatment. The combination of reduced invasiveness, shorter recovery times, and improved comfort contributes to a positive patient experience, which, in turn, drives positive word-of-mouth referrals.

Patients who are considered high-risk for traditional spinal surgeries, such as older individuals or those with comorbidities, can often undergo dynamic spinal tethering procedures safely. This expands the market's reach to a wider demographic of patients in need of spinal deformity correction.

Surge in Aging Population

Across the globe, populations are aging at an unprecedented rate, presenting new challenges and opportunities for the healthcare industry. One area that's experiencing significant growth is the dynamic spinal tethering system market. As more individuals enter their senior years, the incidence of spinal deformities increases.

With age, the likelihood of developing spinal deformities, such as scoliosis or kyphosis, increases. These conditions can cause pain, discomfort, and a reduced quality of life. As a result, the aging population is more likely to seek treatment options, and dynamic spinal tethering systems offer a viable solution, especially for those who may not be suitable candidates for traditional surgeries.

Older individuals often prefer less invasive surgical procedures that minimize the risks associated with extensive surgeries and reduce the recovery period. Dynamic spinal tethering systems align with these preferences, offering a treatment option that provides effective correction while minimizing disruption to daily life.

Many older adults have comorbidities or underlying health conditions that increase the risks associated with surgery. Traditional spinal fusion procedures may not be suitable for these patients. Dynamic spinal tethering systems are often a safer alternative, making them an attractive choice for aging individuals who need spinal deformity correction.

Today's aging population is generally more active and health-conscious than previous generations. Many older individuals wish to maintain an active lifestyle, which may be compromised by spinal deformities. Dynamic spinal tethering systems offer a means to address these conditions while allowing patients to continue their active pursuits.

The aging population is more informed and connected than ever before, thanks to the internet and improved access to healthcare information. This has led to increased awareness of spinal deformity treatment options, including dynamic spinal tethering systems. Older individuals are now more likely to seek out and consider innovative treatments for their conditions.

Healthcare systems are adapting to meet the needs of aging populations. This includes training healthcare professionals in advanced procedures like dynamic spinal tethering, making these treatments more widely available to older patients.

Key Market Challenges

Limited Awareness and Education

A significant challenge facing the market is the limited awareness and understanding of dynamic spinal tethering systems among both healthcare professionals and patients. Many are more familiar with traditional spinal surgeries, making it crucial to educate stakeholders about the benefits and efficacy of these innovative procedures.

Surgeon Training and Expertise

Dynamic spinal tethering procedures require specialized training and expertise. Ensuring an adequate number of skilled surgeons proficient in these techniques is a challenge, particularly in regions with limited access to such training programs.

Patient Selection Criteria

Identifying the right candidates for dynamic spinal tethering procedures is crucial for success. Striking a balance between selecting patients who will benefit the most from the procedure and avoiding those who may have complications remains a challenge for healthcare providers.

Key Market Trends

Personalized Treatment Plans

One of the most significant trends in the dynamic spinal tethering system market is the move towards personalized treatment plans. Advanced imaging and 3D modeling technologies allow surgeons to create individualized plans for each patient. This customization enhances the precision and effectiveness of the procedure, improving outcomes and patient satisfaction.

Artificial Intelligence (AI) and Surgical Robotics

The integration of AI and surgical robotics is revolutionizing spinal surgeries, including dynamic spinal tethering procedures. AI can assist surgeons in real-time decision-making during surgery, while robotics enhance surgical precision. These technologies promise to further reduce invasiveness and enhance patient outcomes.

Long-term Monitoring and Follow-up

Continuous post-operative monitoring and follow-up care are becoming increasingly important. The development of remote monitoring tools and telemedicine options will allow healthcare providers to track patients' progress and address any concerns more effectively.

Segmental Insights

Indication Insights

Based on the category of Indication, Scoliosis is poised to dominate the Global Dynamic Spinal Tethering System Market in 2022 and maintain its dominance in the coming forecast years for several compelling reasons. Firstly, scoliosis is a prevalent spinal condition affecting millions worldwide, particularly among adolescents. This widespread occurrence creates a significant demand for innovative treatment options, such as dynamic spinal tethering, which offers a less invasive alternative to traditional spinal fusion surgery. Additionally, the technology behind dynamic spinal tethering continues to advance, making the procedure safer and more effective, thereby bolstering its appeal to both patients and healthcare providers. Furthermore, as the global healthcare landscape evolves with a growing emphasis on minimally invasive and patient-centric approaches, dynamic spinal tethering aligns with these trends, further solidifying its position as a leading choice for scoliosis management. All these factors combined make it highly likely that scoliosis will maintain its dominance in the Global Dynamic Spinal Tethering System Market in the years to come.

End-User Insights

Ambulatory Surgical Centers (ASCs) are positioned to dominate the Global Dynamic Spinal Tethering System Market in 2022 and maintain their dominance in the forecast years for several compelling reasons. ASCs offer a unique advantage in providing efficient and cost-effective outpatient surgical procedures, including dynamic spinal tethering. Patients prefer ASCs for their convenience, shorter recovery times, and reduced hospital-related risks, making them an attractive choice for dynamic spinal tethering procedures, which typically require shorter hospital stays compared to traditional spinal surgeries. Moreover, ASCs are often equipped with state-of-the-art technology and specialized medical staff, enhancing the quality of care provided to patients seeking dynamic spinal tethering. As the global healthcare industry continues to emphasize outpatient and minimally invasive procedures, ASCs are well-positioned to meet the rising demand for dynamic spinal tethering, cementing their dominance in the market for the foreseeable future.

Regional Insights

North America is poised to dominate the Global Dynamic Spinal Tethering System Market for several compelling reasons. Firstly, the region boasts a robust healthcare infrastructure with advanced medical facilities and a strong focus on innovation. This environment fosters the development and adoption of cutting-edge medical technologies like dynamic spinal tethering systems. Secondly, North America has a relatively higher incidence of scoliosis cases, particularly in the United States and Canada, compared to other regions. This higher prevalence generates a substantial patient pool seeking scoliosis treatment, including dynamic spinal tethering, thereby driving market growth. Additionally, the region benefits from favorable reimbursement policies and a well-established healthcare insurance system, making it more accessible for patients to opt for these advanced treatments. The presence of leading medical device manufacturers, research institutions, and skilled healthcare professionals further contributes to North America's dominance in the Global Dynamic Spinal Tethering System Market. These factors collectively position the region as a dominant player in this market and suggest it will continue to maintain its leading position in the foreseeable future.

Report Scope:

In this report, the Global Dynamic Spinal Tethering System Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

Dynamic Spinal Tethering System Market, By Indication:

  • Kyphosis
  • Scoliosis

Dynamic Spinal Tethering System Market, By Component:

  • Anchors
  • Bone Screws
  • Cord or Connector
  • Set Screws

Dynamic Spinal Tethering System Market, By End-User:

  • Hospitals & Specialty Clinics
  • Ambulatory Care Centers
  • Others

Dynamic Spinal Tethering System Market, By Region:

  • North America
  • United States
  • Canada
  • Mexico
  • Europe
  • Germany
  • United Kingdom
  • France
  • Italy
  • Spain
  • Asia-Pacific
  • China
  • Japan
  • India
  • Australia
  • South Korea
  • South America
  • Brazil
  • Argentina
  • Colombia
  • Middle East & Africa
  • South Africa
  • Saudi Arabia
  • UAE
  • Kuwait

Competitive Landscape

Company Profiles: Detailed analysis of the major companies present in the Global Dynamic Spinal Tethering System Market.

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Global Dynamic Spinal Tethering System market report with the given market data, the publisher offers customizations according to a company's specific needs.


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Table of Contents

1. Product Overview
1.1. Market Definition
1.2. Scope of the Market
1.2.1. Markets Covered
1.2.2. Years Considered for Study
1.2.3. Key Market Segmentations
2. Research Methodology
2.1. Objective of the Study
2.2. Baseline Methodology
2.3. Key Industry Partners
2.4. Major Association and Secondary Sources
2.5. Forecasting Methodology
2.6. Data Triangulation & Validation
2.7. Assumptions and Limitations
3. Executive Summary
3.1. Overview of the Market
3.2. Overview of Key Market Segmentations
3.3. Overview of Key Market Players
3.4. Overview of Key Regions/Countries
3.5. Overview of Market Drivers, Challenges, Trends
4. Voice of Customer
5. Global Dynamic Spinal Tethering System Market Outlook
5.1. Market Size & Forecast
5.1.1. By Value
5.2. Market Share & Forecast
5.2.1. By Indication (Kyphosis, Scoliosis)
5.2.2. By Component (Anchors, Bone Screws, Cord or Connector, Set Screws)
5.2.3. By End-User (Hospitals & Specialty Clinics, Ambulatory Care Centers, Others)
5.2.4. By Region
5.2.5. By Company (2022)
5.3. Product Market Map
5.3.1. By Indication
5.3.2. By Component
5.3.3. By End-User
5.3.4. By Region
6. North America Dynamic Spinal Tethering System Market Outlook
6.1. Market Size & Forecast
6.1.1. By Value
6.2. Market Share & Forecast
6.2.1. By Indication (Kyphosis, Scoliosis)
6.2.2. By Component (Anchors, Bone Screws, Cord or Connector, Set Screws)
6.2.3. By End-User (Hospitals & Specialty Clinics, Ambulatory Care Centers, Others)
6.2.4. By Country
6.3. North America: Country Analysis
6.3.1. United States Dynamic Spinal Tethering System Market Outlook
6.3.1.1. Market Size & Forecast
6.3.1.1.1. By Value
6.3.1.2. Market Share & Forecast
6.3.1.2.1. By Indication
6.3.1.2.2. By Component
6.3.1.2.3. By End-User
6.3.2. Canada Dynamic Spinal Tethering System Market Outlook
6.3.2.1. Market Size & Forecast
6.3.2.1.1. By Value
6.3.2.2. Market Share & Forecast
6.3.2.2.1. By Indication
6.3.2.2.2. By Component
6.3.2.2.3. By End-User
6.3.3. Mexico Dynamic Spinal Tethering System Market Outlook
6.3.3.1. Market Size & Forecast
6.3.3.1.1. By Value
6.3.3.2. Market Share & Forecast
6.3.3.2.1. By Indication
6.3.3.2.2. By Component
6.3.3.2.3. By End-User
7. Europe Dynamic Spinal Tethering System Market Outlook
7.1. Market Size & Forecast
7.1.1. By Value
7.2. Market Share & Forecast
7.2.1. By Indication (Kyphosis, Scoliosis)
7.2.2. By Component (Anchors, Bone Screws, Cord or Connector, Set Screws)
7.2.3. By End-User (Hospitals & Specialty Clinics, Ambulatory Care Centers, Others)
7.2.4. By Country
7.3. Europe: Country Analysis
7.3.1. Germany Dynamic Spinal Tethering System Market Outlook
7.3.1.1. Market Size & Forecast
7.3.1.1.1. By Value
7.3.1.2. Market Share & Forecast
7.3.1.2.1. By Indication
7.3.1.2.2. By Component
7.3.1.2.3. By End-User
7.3.2. United Kingdom Dynamic Spinal Tethering System Market Outlook
7.3.2.1. Market Size & Forecast
7.3.2.1.1. By Value
7.3.2.2. Market Share & Forecast
7.3.2.2.1. By Indication
7.3.2.2.2. By Component
7.3.2.2.3. By End-User
7.3.3. France Dynamic Spinal Tethering System Market Outlook
7.3.3.1. Market Size & Forecast
7.3.3.1.1. By Value
7.3.3.2. Market Share & Forecast
7.3.3.2.1. By Indication
7.3.3.2.2. By Component
7.3.3.2.3. By End-User
7.3.4. Italy Dynamic Spinal Tethering System Market Outlook
7.3.4.1. Market Size & Forecast
7.3.4.1.1. By Value
7.3.4.2. Market Share & Forecast
7.3.4.2.1. By Indication
7.3.4.2.2. By Component
7.3.4.2.3. By End-User
7.3.5. Spain Dynamic Spinal Tethering System Market Outlook
7.3.5.1. Market Size & Forecast
7.3.5.1.1. By Value
7.3.5.2. Market Share & Forecast
7.3.5.2.1. By Indication
7.3.5.2.2. By Component
7.3.5.2.3. By End-User
8. Asia-Pacific Dynamic Spinal Tethering System Market Outlook
8.1. Market Size & Forecast
8.1.1. By Value
8.2. Market Share & Forecast
8.2.1. By Indication (Kyphosis, Scoliosis)
8.2.2. By Component (Anchors, Bone Screws, Cord or Connector, Set Screws)
8.2.3. By End-User (Hospitals & Specialty Clinics, Ambulatory Care Centers, Others)
8.2.4. By Country
8.3. Asia-Pacific: Country Analysis
8.3.1. China Dynamic Spinal Tethering System Market Outlook
8.3.1.1. Market Size & Forecast
8.3.1.1.1. By Value
8.3.1.2. Market Share & Forecast
8.3.1.2.1. By Indication
8.3.1.2.2. By Component
8.3.1.2.3. By End-User
8.3.2. Japan Dynamic Spinal Tethering System Market Outlook
8.3.2.1. Market Size & Forecast
8.3.2.1.1. By Value
8.3.2.2. Market Share & Forecast
8.3.2.2.1. By Indication
8.3.2.2.2. By Component
8.3.2.2.3. By End-User
8.3.3. India Dynamic Spinal Tethering System Market Outlook
8.3.3.1. Market Size & Forecast
8.3.3.1.1. By Value
8.3.3.2. Market Share & Forecast
8.3.3.2.1. By Indication
8.3.3.2.2. By Component
8.3.3.2.3. By End-User
8.3.4. Australia Dynamic Spinal Tethering System Market Outlook
8.3.4.1. Market Size & Forecast
8.3.4.1.1. By Value
8.3.4.2. Market Share & Forecast
8.3.4.2.1. By Indication
8.3.4.2.2. By Component
8.3.4.2.3. By End-User
8.3.5. South Korea Dynamic Spinal Tethering System Market Outlook
8.3.5.1. Market Size & Forecast
8.3.5.1.1. By Value
8.3.5.2. Market Share & Forecast
8.3.5.2.1. By Indication
8.3.5.2.2. By Component
8.3.5.2.3. By End-User
9. South America Dynamic Spinal Tethering System Market Outlook
9.1. Market Size & Forecast
9.1.1. By Value
9.2. Market Share & Forecast
9.2.1. By Indication (Kyphosis, Scoliosis)
9.2.2. By Component (Anchors, Bone Screws, Cord or Connector, Set Screws)
9.2.3. By End-User (Hospitals & Specialty Clinics, Ambulatory Care Centers, Others)
9.2.4. By Country
9.3. South America: Country Analysis
9.3.1. Brazil Dynamic Spinal Tethering System Market Outlook
9.3.1.1. Market Size & Forecast
9.3.1.1.1. By Value
9.3.1.2. Market Share & Forecast
9.3.1.2.1. By Indication
9.3.1.2.2. By Component
9.3.1.2.3. By End-User
9.3.2. Argentina Dynamic Spinal Tethering System Market Outlook
9.3.2.1. Market Size & Forecast
9.3.2.1.1. By Value
9.3.2.2. Market Share & Forecast
9.3.2.2.1. By Indication
9.3.2.2.2. By Component
9.3.2.2.3. By End-User
9.3.3. Colombia Dynamic Spinal Tethering System Market Outlook
9.3.3.1. Market Size & Forecast
9.3.3.1.1. By Value
9.3.3.2. Market Share & Forecast
9.3.3.2.1. By Indication
9.3.3.2.2. By Component
9.3.3.2.3. By End-User
10. Middle East and Africa Dynamic Spinal Tethering System Market Outlook
10.1. Market Size & Forecast
10.1.1. By Value
10.2. Market Share & Forecast
10.2.1. By Indication (Kyphosis, Scoliosis)
10.2.2. By Component (Anchors, Bone Screws, Cord or Connector, Set Screws)
10.2.3. By End-User (Hospitals & Specialty Clinics, Ambulatory Care Centers, Others)
10.2.4. By Country
10.3. MEA: Country Analysis
10.3.1. South Africa Dynamic Spinal Tethering System Market Outlook
10.3.1.1. Market Size & Forecast
10.3.1.1.1. By Value
10.3.1.2. Market Share & Forecast
10.3.1.2.1. By Indication
10.3.1.2.2. By Component
10.3.1.2.3. By End-User
10.3.2. Saudi Arabia Dynamic Spinal Tethering System Market Outlook
10.3.2.1. Market Size & Forecast
10.3.2.1.1. By Value
10.3.2.2. Market Share & Forecast
10.3.2.2.1. By Indication
10.3.2.2.2. By Component
10.3.2.2.3. By End-User
10.3.3. UAE Dynamic Spinal Tethering System Market Outlook
10.3.3.1. Market Size & Forecast
10.3.3.1.1. By Value
10.3.3.2. Market Share & Forecast
10.3.3.2.1. By Indication
10.3.3.2.2. By Component
10.3.3.2.3. By End-User
10.3.4. Kuwait Dynamic Spinal Tethering System Market Outlook
10.3.4.1. Market Size & Forecast
10.3.4.1.1. By Value
10.3.4.2. Market Share & Forecast
10.3.4.2.1. By Indication
10.3.4.2.2. By Component
10.3.4.2.3. By End-User
11. Market Dynamics
11.1. Drivers
11.2. Challenges
12. Market Trends & Developments
12.1. Recent Development
12.2. Mergers & Acquisitions
12.3. Product Launches
13. Porter’s Five Forces Analysis
13.1. Competition in the Industry
13.2. Potential of New Entrants
13.3. Power of Suppliers
13.4. Power of Customers
13.5. Threat of Substitute Products
14. Competitive Landscape
14.1. Business Overview
14.2. Product Offerings
14.3. Recent Developments
14.4. Financials (As Reported)
14.5. Key Personnel
14.6. SWOT Analysis
14.6.1. ApiFix Ltd
14.6.2. Zimmer Biomet Holdings Inc
14.6.3. Auctus Inc
14.6.4. NuVasive Inc
14.6.5. Medtronic Inc
14.6.6. Globus Medical Inc
14.6.7. IntuitiveX
14.6.8. Alphatec Holdings Inc
14.6.9. Stryker Corp
15. Strategic Recommendations16. About the Publisher & Disclaimer

Companies Mentioned (Partial List)

A selection of companies mentioned in this report includes, but is not limited to:

  • ApiFix Ltd
  • Zimmer Biomet Holdings Inc
  • Auctus Inc
  • NuVasive Inc
  • Medtronic Inc
  • Globus Medical Inc
  • IntuitiveX
  • Alphatec Holdings Inc
  • Stryker Corp