Spinal Fusion Industry and Market Forecasts

Spinal fusion surgery is a well-established procedure that has been performed since the early 1900s. The procedure has benefited immensely from its long history of use, investments in advancing technologies, and its clinical success in a growing variety of spinal conditions. These traits have led spinal fusion surgery to become one of the most frequently performed surgeries in the US, which is undoubtedly, the largest geographic market for this procedure. Given the global phenomenon of an aging society and the associated increasing incidences of degenerative spinal conditions, the spinal fusion market is expected to remain strong over the forecast period.

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However, there are still several barriers that are dampening the intervention’s potential adoption levels. Most notably, in the US, public payers are beginning to implement strict measures on reimbursement documentation in an effort to eliminate medically unnecessary procedures. For example, Medicare will now require spine surgeons to document conservative efforts to alleviate the patient’s symptoms prior to undergoing surgery. Another market barrier is the emergence of a new class of medical device technologies that seek to capitalize on one of the persistent weaknesses of spinal fusions. Non-fusion technologies are designed to retain motion at the operated level and reduce stresses experienced by adjacent segments. This is meant to eliminate the progression of symptomatic adjacent segment disease, which still troubles spinal fusion’s effectiveness to this day.

Note: Certain sections in the report may be removed or altered based on the availability and relevance of data for the indicated disease.

Questions Answered in this Report:

·         The reimbursement landscape for spinal fusion procedures in the US is dramatically changing by requiring spine surgeons to provide proof of medical necessity. (Q).How will this payer pressure affect the increasing number of spinal fusion procedures in the US?

·         One of the drivers for the spinal fusion market is the vast number of indications in which the surgery can be used. (Q).Which indications for spinal fusion have seen the highest adoption rates in the past five years? (Q).Which indications will have high adoption rates in the next five years?

·         Non-fusion medical devices were developed to eliminate the progression of symptomatic adjacent segment disease, a major problem still associated with spinal fusion surgeries. (Q).Which non-fusion technologies pose the largest threat to spinal fusion procedures?

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“What Do Physicians Think?” quotes provide a unique insight into how healthcare professionals are reacting to events within the industry, and what their responses could mean for industry strategists. This information is essential for all strategic decision-makers in every organization, allowing them to act on high-quality information.

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Table of Contents:

1 Table of Contents 6
1.1 List of Tables 10
1.2 List of Figures 13

2 Introduction 15

2.1 Overview 15
2.2 Catalyst 15

3 Industry Overview 17
3.1 Indications 17
3.2 Types of Devices 19
3.2.1 Spinal Plating Systems 19
3.2.2 Interbody Cages 20
3.2.3 Pedicle Screw Systems 21
3.3 Procedure Trends 22
3.3.1 US 22
3.3.2 5EU 24
3.3.3 South America 29
3.3.4 APAC 31
3.4 Market Access 36
3.4.1 Regulation 36
3.4.2 Adoption 42
3.4.3 Reimbursement Trends 48

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List of Figures:

Table 1: Indications for Lumbar Spinal Fusion 18
Table 2: Adoption of Spinal Fusion and Spinal Non-Fusion, US, 2013 and 2020 23
Table 3: Adoption of Spinal Fusion and Spinal Non-Fusion, 5EU, 2013 and 2020 24
Table 4: Spinal Plating Systems CAGR, 5EU, Based on 2013 and 2020 Procedure Volumes 25
Table 5: Interbody Cages CAGR, 5EU, Based on 2013 and 2020 Procedure Volumes 26
Table 6: Pedicle Screw Systems CAGR, 5EU, Based on 2013 and 2020 Procedure Volumes 28
Table 7: Adoption of Spinal Fusion and Spinal Non-Fusion, Brazil, 2013 and 2020 30
Table 8: Adoption of Spinal Fusion and Spinal Non-Fusion, APAC, 2013 and 2020 32
Table 9: Spinal Plating Systems CAGR, APAC, Based on 2013 and 2020 Procedure Volumes 32
Table 10: Interbody Cages CAGR, APAC, Based on 2013 and 2020 Procedure Volumes 34

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