Summary
In the western economies, spinal fusion is one of the top ten procedures that most payers are looking at the rate of increased utilization, aggregate spending and the likelihood of continued increases based on demographics. Given the heightened competitive pressures and shrinking reimbursement, the average selling prices for spinal fusion products are expected to continue to decline in almost all of the geographies covered in this report, partially offsetting the healthy growth of procedure volumes.
The global market for spinal fusion, which encompasses 39 countries and includes spinal plating systems, interbody devices, vertebral body replacement devices, and pedicle screw systems, was valued at approximately $7.10bn in 2016.
Highlights
Key Questions Answered
- One of the major barriers affecting the spinal fusion market in the US is the increasing public payer scrutiny of the procedure being overused. How does this impact the market?
- Given the escalating healthcare financial burden, many countries have put measures in place to cap the reimbursement for spinal fusion implants. How will the global spinal fusion market evolve in the next five years?
Scope
- Competitive assessment: Currently marketed products and evolving competitive landscape
- In-depth analysis of practice patterns and adoption trends of different surgeries
- Insightful review of the key industry drivers, opportunities, restraints and challenges. Each trend is independently researched to provide qualitative analysis of its implications
- Other key topics covered include procedural trends, market access, reimbursement considerations, and implications for the overall market
- Market share analysis of the competition in different regions
- Annualized sales units and market revenues of each market segment from 2013-2022
Reasons to buy
The report will enable you to -
- Develop and design your in-licensing and out-licensing strategies through a review of pipeline products and technologies, and by identifying the companies with the most robust pipeline
- Develop business strategies by understanding the trends shaping and driving the global market
- Drive revenues by understanding the key trends, innovative products and technologies, market segments, and companies likely to impact the global market in the future
- Formulate effective sales and marketing strategies by understanding the competitive landscape and by analysing the performance of various competitors
- Identify emerging players with potentially strong product portfolios and create effective counter-strategies to gain a competitive advantage
- Track device sales in the global market from 2014-2023
- Organize your sales and marketing efforts by identifying the market categories and segments that present maximum opportunities for consolidations, investments and strategic partnerships
Companies Mentioned
Aesculap
Alphatec Spine
Amedica Corporation
DePuy Synthes
Globus Medical
K2M
Medtronic
NuVasive
Orthofix
SeaSpine
Stryker
Zimmer Biomet
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1 Table of Contents
1 Table of Contents 6
1.1 List of Tables 9
1.2 List of Figures 10
2 Introduction 12
2.1 Overview 12
2.2 Related Reports 12
3 Industry Overview 13
3.1 Reimbursement Trends 13
3.2 Mergers & Acquisitions 16
4 Unmet Needs and Market Opportunity Analysis 18
4.1 Lack of Definitive Methods to Determine Fusion Performance 18
4.2 Technological Developments in the Use of Long Fusions 18
4.3 Research and Development into Fusion Enhancers 19
4.4 Develop Signature Minimally Invasive Technique 20
4.5 Develop a Device that Provides Real-Time Fusion Updates 22
5 Market Drivers and Barriers 23
5.1 Driver: Gold Standard for Treating Spinal Instability and Degenerative Conditions 23
5.2 Driver: Growth in the Spinal Stenosis Indication 23
5.3 Driver: Expandable Spinal Implants 25
5.4 Driver: Treatment for a Variety of Indications 26
5.5 Driver: Advances in Navigation Technology 27
5.6 Barrier: Incidence of Adjacent Segment Disease 28
5.7 Barrier: Increased Scrutiny over Spinal Fusion’s Necessity in the US 28
5.8 Barrier: Restricted Reimbursement from Private Payers 29
5.9 Barrier: Performance in Treating Axial Back Pain 29
6 Competitive Assessment 31
6.1 Company Market Share 31
6.1.1 Global 31
6.1.2 North America 32
6.1.3 Europe 33
6.1.4 APAC 34
6.1.5 South America 35
6.1.6 Middle East and Africa 36
6.2 Company Profiles 36
6.2.1 Aesculap 36
6.2.2 Alphatec Spine 38
6.2.3 Amedica Corporation 39
6.2.4 DePuy Synthes 40
6.2.5 Globus Medical 41
6.2.6 K2M 44
6.2.7 Medtronic 46
6.2.8 NuVasive 47
6.2.9 Orthofix 49
6.2.10 SeaSpine 50
6.2.11 Stryker 52
6.2.12 Zimmer Biomet 53
6.3 Pipeline Assessment 55
7 Market Outlook 56
7.1 Procedure Trends 56
7.1.1 North America 56
7.1.2 Europe 59
7.1.3 APAC 63
7.1.4 South America 67
7.1.5 Middle East and Africa 68
7.2 By Geography 69
7.2.1 Global 69
7.2.2 North America 72
7.2.3 Europe 76
7.2.4 APAC 81
7.2.5 South America 86
7.2.6 Middle East and Africa 89
8 Appendix 92
8.1 Bibliography 92
8.2 Abbreviations 95
8.3 Methodology 96
8.3.1 Overview 96
8.3.2 Coverage 96
8.3.3 Secondary Research 97
8.4 Forecasting Methodology 97
8.5 Primary Research Summary 98
8.5.1 Primary Research - Key Opinion Leader Interviews 98
8.5.2 Expert Panel Validation 99
8.6 About the Authors 99
8.6.1 Analysts 99
8.6.2 Global Head of Medical Devices 100
8.7 About MediPoint 100
8.8 About GlobalData 100
8.9 Disclaimer 101
1.1 List of Tables
Table 1: Key Mergers, Acquisitions, and Partnerships in Global Spinal Fusion Market (2015-2016) 17
Table 2: Product Portfolio - Aesculap 37
Table 3: Product Portfolio - Alphatec Spine 39
Table 4: Product Portfolio - Amedica 40
Table 5: Product Portfolio - DePuy Synthes 41
Table 6: Product Portfolio - Globus Medical 43
Table 7: Product Portfolio - K2M 45
Table 8: Product Portfolio - Medtronic 47
Table 9: Product Portfolio - NuVasive 48
Table 10: Product Portfolio - Orthofix 50
Table 11: Product Portfolio - SeaSpine 51
Table 12: Product Portfolio - Stryker 52
Table 13: Product Portfolio - Zimmer Biomet 54
Table 14: Pipeline Assessment, 2016 55
Table 15: Adoption Trend for Spinal Implants for Spinal Fusion Procedures in Key Markets in North America, 2016 58
Table 16: Adoption Trend for Spinal Implants for Spinal Fusion Procedures in Key Markets in Europe, 2016 61
Table 17: Adoption Trend for Spinal Implants for Spinal Fusion Procedures in Key Markets in APAC, 2016 65
Table 18: Adoption Trend for Spinal Implants for Spinal Fusion Procedures in Key Markets in South America, 2016 68
Table 19: Global Spinal Fusion Sales ($m) Forecast, 2014-2023 70
Table 20: North America Spinal Fusion Sales ($m) Forecast, 2014-2023 73
Table 21: North America Spinal Fusion Sales ($m) Forecast, by Geography, 2014-2023 74
Table 22: Europe Spinal Fusion Sales ($m) Forecast, 2014-2023 76
Table 23: Europe Spinal Fusion Sales ($m) Forecast, by Geography, 2014-2023 78
Table 24: APAC Spinal Fusion Sales ($m) Forecast, 2014-2023 82
Table 25: APAC Spinal Fusion Sales ($m) Forecast, by Geography, 2014-2023 84
Table 26: South America Spinal Fusion Sales ($m) Forecast, 2014-2023 86
Table 27: South America Spinal Fusion Sales ($m) Forecast, by Geography, 2014-2023 87
Table 28: Middle East and Africa Spinal Fusion Sales ($m) Forecast, 2014-2023 89
Table 29: Middle East and Africa Spinal Fusion Sales ($m) Forecast, by Geography, 2014-2023 90
1.2 List of Figures
Figure 1: Global Spinal Fusion Market Share, 2016 31
Figure 2: North America Spinal Fusion Market Share, 2016 32
Figure 3: Europe Spinal Fusion Market Share, 2016 33
Figure 4: APAC Spinal Fusion Market Share, 2016 34
Figure 5: South America Spinal Fusion Market Share, 2016 35
Figure 6: Middle East and Africa Spinal Fusion Market Share, 2016 36
Figure 7: North America Spinal Fusion Procedure Volumes, by Anatomy, 2014-2023 56
Figure 8: North America Spinal Fusion Procedure Volumes, by Geography, 2014-2023 57
Figure 9: US Interbody Fusion Devices Adoption Trend, by Material, 2016 58
Figure 10: Europe Spinal Fusion Procedure Volumes, by Anatomy, 2014-2023 59
Figure 11: Europe Spinal Fusion Procedure Volumes, by Geography, 2014-2023 60
Figure 12: 5EU Interbody Fusion Devices Adoption Trend, by Material, 2016 62
Figure 13: APAC Spinal Fusion Procedure Volumes, by Anatomy, 2014-2023 63
Figure 14: APAC Spinal Fusion Procedure Volumes, by Geography, 2014-2023 64
Figure 15: APAC Interbody Fusion Devices Adoption Trend, by Material, 2016 66
Figure 16: South America Spinal Fusion Procedure Volumes, by Anatomy, 2014-2023 67
Figure 17: South America Spinal Fusion Procedure Volumes, by Geography, 2014-2023 67
Figure 18: Middle East and Africa Spinal Fusion Procedure Volumes, by Anatomy, 2014-2023 68
Figure 19: Middle East and Africa Spinal Fusion Procedure Volumes, by Geography, 2014-2023 69
Figure 20: Global Spinal Fusion Sales ($m) Forecast, 2014-2023 71
Figure 21: Global Spinal Fusion Market Revenue Distribution, by Geography, 2016 and 2023 72
Figure 22: North America Spinal Fusion Sales ($m) Forecast, 2014-2023 74
Figure 23: North America Spinal Fusion Market Revenue Distribution, by Geography, 2016 75
Figure 24: US Spinal Fusion Market Revenue Distribution, by Sub-segment, 2016 75
Figure 25: Europe Spinal Fusion Sales ($m) Forecast, 2014-2023 77
Figure 26: Europe Spinal Fusion Market Revenue Distribution, 2016 79
Figure 27: 5EU Spinal Fusion Market Revenue Distribution, by Sub-segment, 2016 80
Figure 28: APAC Spinal Fusion Sales ($m) Forecast, 2014-2023 83
Figure 29: APAC Spinal Fusion Market Revenue Distribution, 2016 84
Figure 30: Japan, China, and India’s Spinal Fusion Market Revenue Distribution, by Sub-segment, 2016 85
Figure 31: South America Spinal Fusion Sales ($m) Forecast, 2014-2023 87
Figure 32: South America Spinal Fusion Market Revenue Distribution, 2016 88
Figure 33: Middle East and Africa Spinal Fusion Sales ($m) Forecast, 2014-2023 90
Figure 34: Middle East and Africa Spinal Fusion Market Revenue Distribution, 2016 91
