$4,750.00
Sales of implanted instrumentation for spinal fusion procedures totaled approximately $4.4bn in 2019, with sales expected to climb at a CAGR of 2.2% through 2024. Growth in the spinal fusion instrumentation market is being driven by several factors including the prevalence of degenerative disc disease, new surgical techniques and associated instrumentation that have expanded the range of product indications, and the launch of new enabling technology such as diagnostic, nerve monitoring, and navigation systems (including robotic-assisted surgery).
Highlights
Key topics
Sales of implanted instrumentation for spinal fusion procedures totaled approximately $4.4bn in 2019, with sales expected to climb at a CAGR of 2.2% through 2024. Growth in the spinal fusion instrumentation market is being driven by several factors including the prevalence of degenerative disc disease, new surgical techniques and associated instrumentation that have expanded the range of product indications, and the launch of new enabling technology such as diagnostic, nerve monitoring, and navigation systems (including robotic-assisted surgery).
This newly published report includes a discussion of products, current/forecast markets, and competitors in the global market for spinal fusion instrumentation (including pedicle screw systems, spinal plating, and interbody fusion devices). Spinal fusion procedure volumes and market forecasts are provided for the US, five major European markets, Japan, and the Rest of World for the years 2019-24.
The spinal fusion instrumentation market is highly fragmented among several companies. Key competitors include Medtronic, Stryker, and DePuy Synthes/Johnson and Johnson, among others.
This comprehensive medical market and technology report provides:
Table of Contents
Executive Summary………………………………………………………………………….ES-1
i. Spinal fusion implanted instrumentation market …………………………………………………………..ES-1
a. Selected market drivers and limiters………………………………………………………….ES-4
b. Market leaders………………………………………………………………………………………..ES-4
ii. Methodology ……………………………………………………………………………………………………………ES-5
Exhibit ES-1: Spinal fusion instrumentation, combined market forecast, by segment, 2019-24………………………………………………………………………………………………………….ES-2
Exhibit ES-2: Spinal fusion instrumentation, combined market forecast, by region ($m), 2019-24………………………………………………………………………………………………………….ES-3
1. Clinical Overview………………………………………………………………………….. 1-1
1.1 Spinal anatomy……………………………………………………………………………………………………….. 1-3
1.2 Selected spinal disorders………………………………………………………………………………………….. 1-7
1.2.1 Disc herniation……………………………………………………………………………………. 1-7
1.2.2 Degenerative disc disease…………………………………………………………………….. 1-8
1.2.3 Abnormal curvature of the spine…………………………………………………………. 1-12
1.2.4 Spondylolisthesis……………………………………………………………………………….. 1-13
1.2.5 Stenosis……………………………………………………………………………………………. 1-14
1.2.6 Spinal tumors……………………………………………………………………………………. 1-14
1.2.7 Traumatic spinal injuries…………………………………………………………………….. 1-15
1.3 Spinal fusion …………………………………………………………………………………………………………. 1-15
1.3.1 Procedure volumes……………………………………………………………………………. 1-16
1.4 Bibliography………………………………………………………………………………………………………….. 1-20
Exhibit 1-1: Low back pain prevalence in the US, Japan, and five major European markets, 2010 and 2017 ………………………………………………………………………………………………….. 1-1
Exhibit 1-2: Low back pain, disability-adjusted life years, in the US, Japan, and five major European markets, 2017…………………………………………………………………………………….. 1-2
Exhibit 1-3: Neck pain prevalence in the US, Japan, and five major European markets, 2010 and 2017 ………………………………………………………………………………………………….. 1-3
Exhibit 1-4: The human spine ……………………………………………………………………………………………….. 1-6
Exhibit 1-5: Osteoarthritis prevalence in the US, Japan, and five major European markets, 2010 and 2017…………………………………………………………………………………………………. 1-10
Exhibit 1-6: Forecast for prevalent cases of osteoporosis in the US, Japan, and five major European markets, by country, 2019–24…………………………………………………………….. 1-12
Exhibit 1-7: Spinal fusion, procedure volumes forecast, in the US, Japan, and five major European markets, 2019–24……………………………………………………………………………… 1-17
2. Spinal Fusion: Implanted Instrumentation Market……………………………… 2-1
2.1 Spinal fusion implanted instrumentation, combined market analysis…………………………….. 2-1
2.2 Spinal plating systems……………………………………………………………………………………………… 2-5
2.2.1 Products…………………………………………………………………………………………….. 2-6
2.2.2 Market analysis…………………………………………………………………………………… 2-9
2.2.3 Competitive analysis………………………………………………………………………….. 2-12
2.3 Interbody fusion devices………………………………………………………………………………………… 2-14
2.3.1 Products…………………………………………………………………………………………… 2-15
2.3.2 Market analysis…………………………………………………………………………………. 2-21
2.3.3 Competitive analysis………………………………………………………………………….. 2-23
2.4 Pedicle screws/posterior spinal fixation devices………………………………………………………… 2-25
2.4.1 Products…………………………………………………………………………………………… 2-26
2.4.2 Market analysis…………………………………………………………………………………. 2-31
2.4.3 Competitive analysis………………………………………………………………………….. 2-31
2.5 Spinal fusion implanted instrumentation market, competitive analysis ……………………….. 2-34
2.5.1 Medtronic ………………………………………………………………………………………… 2-34
2.5.2 DePuy Synthes/Johnson & Johnson……………………………………………………… 2-37
2.5.3 Stryker……………………………………………………………………………………………… 2-38
2.5.4 Other leading competitors………………………………………………………………….. 2-39
2.6 Bibliography………………………………………………………………………………………………………….. 2-43
Exhibit 2-1: Spinal fusion instrumentation, combined market forecast, by segment, 2019–24……… 2-4
Exhibit 2-2: Classification of anterior column plates………………………………………………………………… 2-5
Exhibit 2-3: Selected spinal plating systems……………………………………………………………………………. 2-6
Exhibit 2-4: Medtronic’s Atlantis Vision Elite anterior cervical plate system……………………………….. 2-9
Exhibit 2-5: Spinal plating systems, market forecast ($m), by region, 2019–24 …………………………. 2-11
Exhibit 2-6: Spinal plating systems, share by supplier, 2019……………………………………………………. 2-13
Exhibit 2-7: DePuy Synthes’ BENGAL stackable cage system…………………………………………………… 2-14
Exhibit 2-8: Selected minimally invasive interbody fusion systems………………………………………….. 2-17
Exhibit 2-9: Selected interbody fusion and spacer devices……………………………………………………… 2-18
Exhibit 2-10: Interbody fusion devices, market forecast ($m), by region, 2019–24……………………. 2-22
Exhibit 2-11: Intervertebral body fusion devices, share by supplier, 2019………………………………… 2-24
Exhibit 2-12: Selected thoracolumbar fixation/pedicle screw systems …………………………………….. 2-26
Exhibit 2-13: ATEC Spine’s Arsenal spinal fixation system ………………………………………………………. 2-29
Exhibit 2-14: Selected posterior cervicothoracic fixation and pedicle screw systems…………………. 2-30
Exhibit 2-15: Pedicle screw/posterior fixation systems, market forecast ($m), by region, 2019–24 ……………………………………………………………………………………………………….. 2-32
Exhibit 2-16: Pedicle screw/posterior fixation systems, share by supplier, 2019……………………….. 2-33
Exhibit 2-17: Medtronic net sales ($m), by product category and geography, FY2018–20………….. 2-35
Exhibit 2-18: Johnson & Johnson net sales ($m), by product category and geography, 2017–19…. 2-37
Exhibit 2-19: Stryker net sales ($m), by product category and geography, 2017–19 ………………….. 2-39
Exhibit 2-20: Zimmer Biomet net sales ($m), by product category and geography, 2017–19………. 2-40
Exhibit 2-21: NuVasive net sales ($m), by product category and geography, 2017–19……………….. 2-41
Exhibit 2-22: Globus Medical net sales ($m), by product category and geography, 2017–19………. 2-42
APPENDIX: COMPANY LISTING …………………………………………………………………………………… A-1
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