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U.S. & Asia Markets for Non-fusion Technologies in Spine ProceduresPublished by: Frost & Sullivan Published: Apr. 27, 2004 Table of Contents1 TOTAL MARKET FOR NON-FUSION TECHNOLOGIES IN SPINE PROCEDURES Overview Executive Summary Anatomy of the Human Spine Low Back Pain & Other Spinal Disorders Treatment of Spinal Pathologies: Non-fusion & Fusion Is Spine Fusion Bad? Surgical Approaches to the Human Spine Forecast Methodology Market Trends and Forecasts Market Drivers Market Restraints Revenue Forecast Market Segmentation Artificial Discs Nucleus Replacement Dynamic Stabilization Annular Repair Facet Arthroplasty Frost & Sullivan Awards Product Differentiation Innovation Award Competitive Strategy Award Global Marketing Strategy Award Entrepreneurial Company Award 2 UNDERSTANDING THE SPINE SURGERY MARKET Population Trends The "Baby Boomer" Wave Discectomy market Disc Herniation: Trends in Patient Population Characterization of the U.S. Discectomy Market Laminectomy Market Characterization of the U.S. Laminectomy Market Spine Fusion market Indications for Spinal Fusion Total Number of Spine Fusions Spine Fusion Procedures by Anatomy Characterization of the U.S. Cervical Spine Fusion Market Characterization of the U.S. Lumbar Spine Fusion Market Discussion Effect of Population Trends on the Spine Surgery Market What will the Future Demands on Spine Surgery be? 3 ARTIFICIAL DISCS Overview Development Description Patient Selection - Inclusion & Exclusion Criteria Pre-clinical & Clinical Studies Forecasts Assumptions Unit Forecast Pricing/Price Forecast Revenue Forecast Cervical Discs versus Lumbar Discs: Who will lay the Golden Egg? Competitive Structure DePuy Spine Synthes-Stratec Medtronic Sofamor Danek SpineCore 4 NUCLEUS REPLACEMENT Overview Development Description Patient Selection - Inclusion & Exclusion Criteria Pre-clinical & Clinical Studies Forecasts Assumptions Unit Forecast Pricing Forecast Revenue Forecast Competitive Structure Raymedica Disc Dynamics Spine Wave Cryolife Replication Medical 5 DYNAMIC STABILIZATION Overview Development Description Patient Selection - Inclusion & Exclusion Criteria Pre-clinical & Clinical Studies Forecasts Assumptions Unit Forecast Pricing Forecast Revenue Forecast Competitive Structure Zimmer Spine Synthes-Stratec Medtronic 6 ANNULAR REPAIR DEVICES Overview Development Description Patient Selection - Inclusion & Exclusion Criteria Pre-clinical & Clinical Studies Forecasts Assumptions Unit Forecast Pricing Forecast Revenue Forecast Competitive Structure Anulex Technologies Intrinsic Therapeutics 7 FACET ARTHROPLASTY Overview Development Description Patient Selection - Inclusion & Exclusion Criteria Pre-clinical & Clinical Studies Forecasts Assumptions Unit Forecast Pricing Forecast Revenue Forecast Competitive Structure Archus Orthopedics 8 WHAT DO THE SPINE SURGEONS SAY? Feedback from Spine Surgeons Surgical Decision Making for Non-fusion Technologies Expectations and Concerns 9 FUTURE MERGERS & AQUISITIONS Scenario of the Non-fusion Spine Industry Are Changes Imminent? Analyses of Probable Alliances Raymedica Disc Dynamics Spine Wave Replication Medical SpineCore 10 ASIAN PERSPECTIVE Australia Non-fusion Spine Technologies in Australia Frequency of Use Price Factor China Non-fusion Spine Technologies in China Frequency of Use Price Factor India Non-fusion Spine Technologies in India Frequency of Use Price Factor Japan Non-fusion Spine Technologies in Japan Frequency of Use Price Factor South Korea Non-fusion Spine Technologies in South Korea Frequency of Use Price Factor 11 DECISION SUPPORT DATABASES Statistics on Asian Countries Australia China India Japan South Korea AbstractSpine implants is the fastest growing segment within the $7 billion-plus U.S. orthopedic market. It has been estimated that 60 percent to 80 percent of Americans are likely to experience an episode of disabling low back pain at least once in their lifetime. The condition costs the economy about $60 billion due to lost work, medical costs, and rehabilitation. Till date, the ultimate option available to patients suffering from chronic spine-related problems, such as low-back pain, has been 'welding' together the adjacent vertebral bodies through a process called spine fusion. Although spine fusion is the current gold standard for spine care, it has several drawbacks. It disrupts the biomechanics of the spine and promotes degeneration of adjacent discs. Fusion also restricts motion of the spine units. Additionally, post-fusion surgery, patients may have to undergo several months of rehabilitation. A new generation of devices that will enable 'non-fusion' treatment of the spine is evolving. These devices will restore the natural biomechanics and motion of the spine. However, surgeons are of the opinion that fusion will still remain an important aspect of spine care since non-fusion treatment may not address all orthopedic problems of the spine. Also non-fusion treatment of the spine may not be suitable for patients above 60 years of age.
This research offers a detailed analysis of the various segments of the non-fusion devices market for spine procedures in the U.S. and Asia. The key participants in each segment are identified, and their strengths and weaknesses are discussed. Input from spine surgeons in the U.S. and Asia captured their expectations and concerns regarding the non-fusion spine devices. Feedback from spine surgeons also helped in making realistic market forecasts for the various non-fusion spine devices. In addition, the effect of the changing U.S. demographic landscape, especially the effect of the 'baby boomer' wave, on the future demands on the spine surgery markets are analyzed.
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