US Market Overview for Spinal Implants and VCF 2017 - MedView

EXECUTIVE SUMMARY

1.1 U.S. SPINAL IMPLANTS AND VCF MARKET OVERVIEW

1.2 COMPETITIVE ANALYSIS

1.3 MARKET TRENDS

1.4 MARKET DEVELOPMENTS

1.5 PROCEDURE NUMBERS

1.6 PROCEDURE CODES INVESTIGATED

1.7 MARKETS INCLUDED

1.8 KEY REPORT UPDATES

1.9 VERSION HISTORY

RESEARCH METHODOLOGY

1.1 RESEARCH SCOPE

1.2 IDATA’S 9-STEP METHODOLOGY

Step 1: Project Initiation & Team Selection

Step 2: Prepare Data Systems and Perform Secondary Research

Step 3: Preparation for Interviews & Questionnaire Design

Step 4: Performing Primary Research

Step 5: Research Analysis: Establishing Baseline Estimates

Step 6: Market Forecast and Analysis

Step 7: Identify Strategic Opportunities

Step 8: Final Review and Market Release

Step 9: Customer Feedback and Market Monitoring

DISEASE OVERVIEW

2.1 INTRODUCTION

2.1.1 Degenerative Disc Disease

2.1.1.1 Disc Herniation

2.1.1.2 Stenosis

2.1.1.3 Spondyloisthesis

2.1.1.4 Arthritis

2.1.2 Spinal Deformities

2.1.2.1 Scoliosis

2.1.2.2 Kyphosis and Lordosis

2.1.3 Trauma and Tumor

2.1.4 Vertebral Compression Fractures

2.1.4.1 Osteoporosis

2.1.4.2 Vertebral Compression Fractures

U.S. SPINAL IMPLANTS AND VCF MARKET OVERVIEW

3.1 INTRODUCTION

3.1.1 Spinal Fusion

3.1.2 Traditional Interbody Fusion

3.1.2.1 ALIF

3.1.2.2 PLIF

3.1.2.3 TLIF

3.1.2.4 CIF

3.1.3 Motion Preservation

3.1.3.1 Artificial Discs

3.1.3.2 Posterior Dynamic Stabilization

3.1.3.3 Interspinous Process Decompression

3.1.3.4 Nucleus Replacement

3.1.3.5 Facet Arthroplasty

3.1.4 Vertebral Compression Fracture (VCF)

3.1.5 Electrical Stimulation

3.1.6 Spinal Surgery Instrumentation

3.2 MARKET OVERVIEW

3.3 TREND ANALYSIS BY SEGMENT

3.4 DRIVERS AND LIMITERS

3.4.1 Market Drivers

3.4.2 Market Limiters

3.5 COMPETITIVE MARKET SHARE ANALYSIS

3.6 COMPANY PROFILES

3.6.1 Alphatec Spine

3.6.2 DePuy Synthes

3.6.3 Globus Medical

3.6.4 K2M

3.6.5 Medtronic

3.6.6 Orthofix

3.6.7 Stryker

3.6.8 Zimmer Biomet

ABBREVIATIONS

APPENDIX: COMPANY PRESS RELEASES

List of Charts

Chart 1 1: Spinal Implants and VCF Market by Segment, U.S., 2013 – 2023

Chart 1 2: Spinal Implants and VCF Market Overview, U.S., 2016 &2023

Chart 3 1: Spinal Implants and VCF Market by Segment, U.S., 2013 – 2023

Chart 3 2: Spinal Implants and VCF Market Breakdown, U.S., 2016

Chart 3 3: Spinal Implants and VCF Market Breakdown, U.S., 2023

Chart 3 4: Growth Rates by Segment, Spinal Implants and VCF Market, U.S., 2013 – 2023

Chart 3 5: Leading Competitors, Spinal Implants and VCF Market, U.S., 2016

List of Figures

Figure 1 1: Spinal Implants and VCF Market Share Ranking by Segment, U.S., 2016 (1 of 2)

Figure 1 2: Spinal Implants and VCF Market Share Ranking by Segment, U.S., 2016 (2 of 2)

Figure 1 3: Companies Researched in this Report, U.S., 2016

Figure 1 4: Factors Impacting the Spinal Implants and VCF Market by Segment, U.S. (1 of 2)

Figure 1 5: Factors Impacting the Spinal Implants and VCF Market by Segment, U.S. (2 of 2)

Figure 1 6: Recent Events in the Spinal Implants and VCF Market, U.S., 2013 – 2016

Figure 1 7: Spinal Procedures Covered, U.S., 2016 (1 of 3)

Figure 1 8: Spinal Procedures Covered, U.S., 2016 (2 of 3)

Figure 1 9: Spinal Procedures Covered, U.S., 2016 (3 of 3)

Figure 1 10: Procedure Codes Investigated, U.S., 2016 (1 of 2)

Figure 1 11: Procedure Codes Investigated, U.S., 2016 (2 of 2)

Figure 1 12: Spinal Implants and VCF Markets Covered, U.S., 2016, (1 of 3)

Figure 1 13: Spinal Implants and VCF Markets Covered, U.S., 2016, (2 of 3)

Figure 1 14: Spinal Implants and VCF Markets Covered, U.S., 2016, 3 of 3

Figure 1 15: Key Report Updates

Figure 1 16: Version History

Figure 3 1: Total Spinal Implants and VCF Market, U.S., 2013 – 2023 (US$M)

Figure 3 2: Spinal Implants and VCF Market by Segment, U.S., 2013 – 2023 (US$M)

Figure 3 3: Spinal Implants and VCF Market Growth by Segment, U.S., 2013 – 2023

Figure 3 4: Drivers and Limiters, Spinal Implants and VCF Market, U.S., 2016

Figure 3 5: Leading Competitors, Spinal Implants and VCF Market, U.S., 2016

US Market Overview for Spinal Implants and VCF 2017 - MedView

General Report Contents

• Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends
• Market Drivers & Limiters for each chapter segment
• Competitive Analysis for each chapter segment
• Section on recent mergers & acquisitions

Despite many challenges, growth is expected in many market segments, as the patient demographics in the U.S. maintain a steady demand for such procedures. Growth has slowed in the last few years as newer, minimally invasive innovations gradually cannibalized the traditional spine market. The motion preservation segment will be the fastest growing in the market, and will be continually driven by novel and emerging technologies.

The biggest limiting factor for the spinal fusion markets is the development of motion preservation technology. Lumbar artificial discs (LADs) have not been as successful at cannibalizing thoracolumbar fixation devices as previously anticipated due to a lack of reimbursement and unfavorable clinical results. Favorable reimbursement policies are expected for these devices as favorable clinical results involving newer devices emerge.

One of the key drivers for the interbody fusion market is the increase in the target population, which is composed of aging baby boomers. The majority of spinal fusion procedures are performed on those individuals over the age of 60. This age group is the fastest growing demographic in the United States.

Minimally invasive interbody options will continue to cannibalize areas of the standard interbody market, particularly traditional ALIF and PLIF approaches. However, other areas of the standard market will continue to experience growth.

The full report suite on the U.S. market for spinal implants and VCF includes segments for traditional cervical and thoracolumbar fixation devices, interbody devices, motion preservation devices, vertebral compression fracture (VCF) treatment, spinal electrical stimulation and spinal instrumentation.