U.S. MARKETS FOR INSTRUMENTED SPINAL FUSION AND POSTERIOR DYNAMIC STABILIZATION PRODUCTS

167 Pages | 43 Exhibits | 2012 Analysis | Forecasts Through 2016

OVERVIEW:
The growing number of older people living in the United States (U.S.) with age-related degenerative disorders of the spine will continue to play a large part in driving the demand for spinal fusion and posterior dynamic stabilization procedures. It is projected that between the years 2010 and 2020, the population in the U.S. age 65 and older will increase 8.6%, from 309.2 million to 336.0 million.

Instrumented spinal fusion and posterior dynamic stabilization procedures generated an estimated $2,403.2 million in corresponding product sales in the U.S. in 2011. It is expected that during the forecast period covered by this report, sales of instrumented spinal fusion and posterior dynamic stabilization implants in the U.S. will increase at a compound annual rate of 3.0%, reaching an estimated $2,790.0 million in the year 2016.

This dynamic, new report from Medtech Insight includes analyses of products, current and forecast markets, competitors, and opportunities for suppliers of instrumented spinal fusion and posterior dynamic stabilization products to the U.S.

This report includes an overview of spinal disorders and available treatment options as well as an analysis of the U.S. markets for spinal fusion instrumentation products (including anterior column plating systems, interbody fusion devices, and posterior spinal fixation implants) and posterior dynamic stabilization products (including interspinous process spacers, pedicle screw systems, and facet replacement technologies).

TABLE OF CONTENTS:
EXECUTIVE SUMMARY

i. Spinal Fusion Procedure Volumes
ii. Instrumented Spinal Fusion Devices Market
iii. Posterior Dynamic Stabilization Products Market
iv. Combined Market Forecast
	a. Market Drivers
	b. Market Limiters
v. Methodology

Exhibit ES-1: United States Population, by Selected Ages, 1990-2050
Exhibit ES-2: Spinal Fusion, Procedure Volumes Forecast, 2010-2016
Exhibit ES-3: Spinal Fusion Instrumentation, Combined Market Forecast, 2010-2016
Exhibit ES-4: Posterior Dynamic Stabilization Products, Combined Market Forecast, 2010-2016
Exhibit ES-5: Instrumented Spinal Fusion and Posterior Dynamic Stabilization Devices, Combined Market Forecast, 2010-2016

1. CLINICAL OVERVIEW

1.1 Spinal Anatomy
1.2 Selected Spinal Disorders
	1.2.1 Disc Herniation
	1.2.2 Degenerative Disc Disease
		1.2.2.1 Arthritis
		1.2.2.2 Osteoporosis
		1.2.2.3 Spondylosis
	1.2.3 Abnormal Curvature of the Spine
		1.2.3.1 Scoliosis
		1.2.3.2 Kyphosis and Lordosis
	1.2.4 Spondylolisthesis
	1.2.5 Stenosis
	1.2.6 Spinal Tumors
	1.2.7 Traumatic Spinal Injuries
	1.2.8 Vertebral Fractures

Exhibit 1-1: The Human Spine
Exhibit 1-2: Herniated Disc

2. TREATMENT OPTIONS AND MARKET DYNAMICS

2.1 Spinal Decompression
	2.1.1 Corpectomy
	2.1.2 Discectomy
	2.1.3 Facetectomy
	2.1.4 Foraminotomy/Foraminectomy
	2.1.5 Laminotomy/Laminectomy
2.2 Spinal Fusion
	2.2.1 Instrumented versus Noninstrumented Spinal Fusion
		2.2.1.1 Instrumented Spinal Fusion
		2.2.1.2 Noninstrumented Spinal Fusion
	2.2.2 Cervical Fusion
		2.2.2.1 Anterior Cervical Fusion
		2.2.2.2 Posterior Cervical Fusion
	2.2.3 Interbody Fusion
	2.2.4 Lumbar Fusion
		2.2.4.1 Anterior Lumbar Interbody Fusion
		2.2.4.2 Posterior Lumbar Interbody Fusion
		2.2.4.3 Transforaminal Lumbar Interbody Fusion
	2.2.5 Posterolateral Fusion
	2.2.6 360-Degree Fusion
	2.2.7 Thoracic and Thoracolumbar Fusion
	2.2.8 Percutaneous or Minimally Invasive Fusion
2.3 Posterior Dynamic Stabilization
2.4 Market Dynamics
	2.4.1 Population Demographics
	2.4.2 Medicare Reimbursement
	2.4.3 Procedure Volumes Forecast

Exhibit 2-1: Anatomy of a Spinal Segment
Exhibit 2-2: Noninstrumented Spinal Fusion
Exhibit 2-3: United States Population Growth Trends
Exhibit 2-4: Spinal Fusion Diagnosis-Related Groups and Associated Medicare Reimbursement
Exhibit 2-5: Spinal Fusion, Procedure Volumes Forecast, 2010-2016

3. SPINAL FUSION INSTRUMENTATION MARKET

3.1 Anterior Column Plating Systems
	3.1.1 Products
	3.1.2 Market Analysis
3.2 Interbody Fusion Devices
	3.2.1 Products
	3.2.2 Market Analysis
3.3 Posterior Spinal Fixation Devices
	3.3.1 Pedicle Screw Fixation Products
	3.3.2 Pedicle Screw Systems, Market Analysis
3.4 Spinal Fusion Instrumentation, Combined Market Analysis
	3.4.1 Market Drivers
	3.4.2 Market Limiters
3.5 Spinal Fusion Instrumentation, Competitive Analysis

Exhibit 3-1: An Anterior Column Plate and Screw System
Exhibit 3-2: Classification of Anterior Column Plating Systems
Exhibit 3-3: 2012, Selected Anterior Column Plating Systems
Exhibit 3-4: Anterior Column Plating Systems, Market Forecast, 2010-2016
Exhibit 3-5: Anterior Column Plating Systems, Segment Revenues as a Percentage of the Total Market
Exhibit 3-6: Interbody Fusion Devices
Exhibit 3-7: 2012, Selected Interbody Fusion Devices
Exhibit 3-8: Interbody Fusion Devices, Market Forecast, 2010-2016
Exhibit 3-9: Interbody Fusion Devices, Segment Revenues as a Percentage of the Total Market
Exhibit 3-10: Pedicle Screw System
Exhibit 3-11: 2012, Selected Posterior Spinal Fixation Devices
Exhibit 3-12: Pedicle Screw Systems, Market Forecast, 2010-2016
Exhibit 3-13: Pedicle Screw Systems, Segment Revenues as a Percentage of the Total Market
Exhibit 3-14: Spinal Fusion Instrumentation, Combined Market Forecast, 2010-2016 3-41
Exhibit 3-15: Spinal Fusion Instrumentation, Segment Revenues as a Percentage of the Total Market
Exhibit 3-16: 2011, Spinal Fusion Instrumentation Market, Share by Supplier

4. POSTERIOR DYNAMIC STABILIZTION DEVICES MARKET

4.1 Types of Devices
	4.1.1 Interspinous Process Spacers
		4.1.1.1 Scientific Background
		4.1.1.2 Practice Guidelines and Position Statements
	4.1.2 Pedicle Screw Posterior Dynamic Stabilization Systems
		4.1.2.1 Scientific Background
	4.1.3 Facet Replacements
		4.1.3.1 Scientific Background
4.2 Products
	4.2.1 Interspinous Process Spacers
	4.2.2 Pedicle Screw Dynamic Stabilization Products
	4.2.3 Facet Replacement Products
4.3 Dynamic Stabilization Products Market Analysis
	4.3.1 Interspinous Process Spacers Market
		4.3.1.1 Market Drivers
		4.3.1.2 Market Limiters
	4.3.2 Pedicle Screw Dynamic Stabilization Market
		4.3.2.1 Market Drivers
		4.3.2.2 Market Limiters
	4.3.3 Facet Replacement Products Market
	4.3.4 Combined Market Analysis
		4.3.4.1 Market Drivers
		4.3.4.2 Market Limiters

Exhibit 4-1: Anatomic Changes Achieved by Posterior Dynamic Stabilization Devices
Exhibit 4-2: The X-STOP Interspinous Process Spacer
Exhibit 4-3: 2012, Selected Interspinous Process Spacers Under Development
Exhibit 4-4: Images of Interspinous Process Spacers Under Development
Exhibit 4-5: 2012, Selected 510(k)-Approved Pedicle Screw Dynamic Stabilization Devices
Exhibit 4-6: Images of 510(k)-Approved Pedicle Screw Dynamic Stabilization Devices
Exhibit 4-7: 2012, Pedicle Screw Dynamic Stabilization Systems, Status of 522 Postmarket Surveillance Studies
Exhibit 4-8: 2012, Selected Pedicle Screw Dynamic Stabilization Devices Under Development
Exhibit 4-9: Images of Pedicle Screw Dynamic Stabilization Devices Under Development
Exhibit 4-10: 2012, Selected Facet Replacement Products Under Development
Exhibit 4-11: Images of Facet Replacement Products Under Development
Exhibit 4-12: Interspinous Process Spacers, Market Forecast, 2010-2016
Exhibit 4-13: Pedicle Screw Products, Market Forecast, 2010-2016
Exhibit 4-14: Facet Replacement Products, Market Forecast, 2010-2016
Exhibit 4-15: Posterior Dynamic Stabilization Products, Combined Market Forecast, 2010-2016

5. COMPANY PROFILES

5.1 Globus Medical, Inc.
5.2 Johnson & Johnson
5.3 Medtronic, Inc.
5.4 Stryker Corporation
5.5 Synthes, Inc.
5.6 Zimmer Holdings, Inc.

Appendix:  Company Listing


COMPANIES COVERED:

  1. Aesculap, Inc./B. Braun Melsungen AG
  2. Alphatec Spine, Inc./Alphatec Holdings, Inc.
  3. Amedica Corporation
  4. Atlas Spine, Inc.
  5. Biomet, Inc.
  6. Bio-Spine Corporation
  7. B. Braun Melsungen AG
  8. DePuy Spine, Inc./DePuy, Inc./Johnson & Johnson
  9. Exactech, Inc.
  10. Globus Medical, Inc.
  11. Integra LifeSciences Corporation
  12. Interventional Spine, Inc.
  13. Johnson & Johnson
  14. K2M, Inc.
  15. LDR Holding Corporation
  16. Life Spine, Inc.
  17. Medtronic, Inc.
  18. NuVasive, Inc.
  19. Ortho Development Corporation
  20. Orthofix International NV
  21. Paradigm Spine LLC
  22. Premia Spine LTD
  23. Rachiotek LLC
  24. Signus Medical LLC
  25. Simpirica Spine, Inc.
  26. Spinal Elements, Inc.
  27. SpineVision, Inc./SpineVision SA
  28. Spine Wave, Inc.
  29. Stryker Corporation
  30. Synthes, Inc.
  31. Ulrich Medical, Inc.
  32. VertiFlex, Inc.
  33. Zimmer Holdings, Inc.
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