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Published by: Medtech Insight
Published: Mar. 1, 2007 - 179 Pages
Table of Contents
- EXECUTIVE SUMMARY
- i. Clinical Overview
- ii. Instrumented Spinal Fusion Devices Market
- iii. Dynamic Stabilization Devices Market
- iv. Combined Market Forecast
- v. Methodology
- Exhibit ES-1: Instrumented Spinal Fusion Devices, Combined Market Forecast, 2005-2012
- Exhibit ES-2: Dynamic Stabilization Products, Combined Market Forecast, 2005-2012
- Exhibit ES-3: Instrumented Spinal Fusion and Dynamic Stabilization Devices, Combined Market Forecast, 2005-2012
- 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
- 1.2.2.1.1 Osteoarthritis
- 1.2.2.1.2 Rheumatoid Arthritis
- 1.2.2.1.3 Ankylosing Spondylitis
- 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: Incidence of Spinal Disorders,
- 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 Noninstrumented Spinal Fusion
- 2.2.1.2 Instrumented 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 Dynamic Fixation
- 2.4 Market Dynamics
- 2.4.1 Population Demographics
- 2.4.2 Third-Party Payers
- 2.4.3 The Centers for Medicare & Medicaid Services
- 2.4.4 Federal Oversight of Physician/Corporate Relationships
- 2.4.5 Procedure Volumes Forecast
- Exhibit 2-1: Noninstrumented Spinal Fusion
- Exhibit 2-2: Noninstrumented Spinal Fusion, Procedure Volumes, 1995 to 2011
- Exhibit 2-3: United States Population Growth Trends
- Exhibit 2-4: Combined Anterior/Posterior Spinal Fusion, Average Medicare Reimbursement Levels, Diagnosis-Related Group 496
- Exhibit 2-5: Spinal Fusion (Excluding Cervical with Complications and/or Comorbidities), Average Medicare Reimbursement Levels, Diagnosis-Related Group 497
- Exhibit 2-6: Spinal Fusion (Excluding Cervical without Complications and/or Comorbidities), Average Medicare Reimbursement Levels, Diagnosis-Related Group 498
- Exhibit 2-7: Cervical Spinal Fusion with Complications and/or Comorbidities, Average Medicare Reimbursement Levels, Diagnosis-Related Group 519
- Exhibit 2-8: Cervical Spinal Fusion without Complications and/or Comorbidities, Average Medicare Reimbursement Levels, Diagnosis-Related Group 520
- Exhibit 2-9: Spinal Fusion, Procedure Volumes Forecast, 2005-2012
- 3. INSTRUMENTED SPINAL FUSION DEVICES MARKET
- 3.1 Anterior Cervical Plate 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 Posterior Cervical Fixation Products
- 3.3.2.1 Market Analysis
- 3.4 Instrumented Spinal Fusion Devices, Combined Market Analysis
- 3.5 Competitive Analysis
- Exhibit 3-1: Anterior Plate and Screw System
- Exhibit 3-2: Anterior Cervical Plate Design Classifications
- Exhibit 3-3: 2007, Selected Anterior Cervical Plate and Screw Fixation Devices
- Exhibit 3-4: Standard Anterior Plating Systems, Market Forecast, 2005-2012
- Exhibit 3-5: Interbody Fusion Devices
- Exhibit 3-6: 2007, Selected Interbody Fusion Devices
- Exhibit 3-7: Standard Interbody Fusion Devices, Market Forecast, 2005-2012
- Exhibit 3-8: Pedicle Screw Devices
- Exhibit 3-9: 2007, Selected Posterior Spinal Fixation Devices
- Exhibit 3-10: Pedicle Screw Systems, Market Forecast, 2005-2012
- Exhibit 3-11: Instrumented Spinal Fusion Devices, Combined Market Forecast, 2005-2012
- Exhibit 3-12: Instrumented Spinal Fusion Devices, Segment Revenues as a Percentage of the Total Market
- Exhibit 3-13: 2006, Instrumented Spinal Fusion Devices Market, Share by Supplier
- 4. DYNAMIC STABILIZATION DEVICES MARKET
- 4.1 Types of Devices
- 4.1.1 Interspinous Process Spacers
- 4.1.2 Pedicle Screw-Based Posterior Dynamic Stabilization Systems
- 4.1.3 Facet Replacement Products
- 4.2 Products
- 4.2.1 Interspinous Process Spacers
- 4.2.2 Pedicle Screw-Based Posterior Dynamic Stabilization Products
- 4.2.3 Facet Replacement Products
- 4.3 Market Analysis
- 4.3.1 Interspinous Process Spacers Market
- 4.3.2 Pedicle Screw-Based Posterior Dynamic Stabilization Products Market
- 4.3.3 Facet Arthroplasty Dynamic Stabilization Products Market
- 4.3.4 Combined Market Analysis
- Exhibit 4-1: Anatomic Changes Achieved by Dynamic Stabilization Devices
- Exhibit 4-2: 2007, Selected Interspinous Process Spacers
- Exhibit 4-3: The X-STOP Interspinous Process Spacer
- Exhibit 4-4: 2007, Selected Pedicle Screw-Based Dynamic Stabilization Devices
- Exhibit 4-5: The Dynesys Dynamic Stabilization System
- Exhibit 4-6: 2007, Selected Facet Replacement Devices
- Exhibit 4-7: The Total Facet Arthroplasty System
- Exhibit 4-8: Interspinous Process Spacers, Market Forecast, 2005-2012
- Exhibit 4-9: Pedicle Screw-Based Dynamic Stabilization Devices, Market Forecast, 2005-2012
- Exhibit 4-10: Facet Arthroplasty Dynamic Stabilization Systems, Market Forecast, 2005-2012
- Exhibit 4-11: Dynamic Stabilization Products, Combined Market Forecast, 2005-2012
- 5. COMPANY PROFILES
- 5.1 Abbott Spine/Abbott Laboratories
- 5.2 Alphatec Spine, Inc./Alphatec Holdings, Inc.
- 5.3 Biomet, Inc.
- 5.4 Globus Medical, Inc.
- 5.5 DePuy Spine, Inc./Johnson & Johnson
- 5.6 Kyphon, Inc.
- 5.7 Medtronic Sofamor Danek, Inc./Medtronic, Inc.
- 5.8 Blackstone Medical, Inc./Orthofix International NV
- 5.9 Paradigm Spine LLC
- 5.10 Stryker Spine/Stryker Corporation
- 5.11 Synthes Spine/Synthes, Inc.
- 5.12 Zimmer Holdings, Inc.
- APPENDIX: COMPANY LISTING
AbstractIn 2006, more than $1.8 billion was spent on spinal fixation and dynamic stabilization devices in the United States (U.S.). Sales of these products are expected to grow at a compound annual rate of 10.4% during the forecast period covered by this report, reaching more than $3.2 billion in the year 2012.
This dynamic report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities in the U.S. spinal fusion and dynamic stabilization products market. These products are used to treat a range of spinal disorders including abnormal curvature of the spine, degenerative disc disease, disc herniation, spondylosis, stenosis, tumors, and vertebral fractures. Incidence of spine disorders totaled approximately 75,000 in 2006. Back pain is the second most common medical condition for which individuals seek treatment, accounting for more than 50 million physician office visits annually in the U.S. It is estimated that more than 75% of the entire U.S. population will be affected by low back pain over the course of their lifetime.
Covered topics in this report include traditional spinal fixation products such as anterior plates and screws, interbody fusion devices, and pedicle screws; as well as dynamic stabilization products including interspinous spacers, facet replacements, and pedicle screw-based systems.
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