Spinal Implants & Devices Market Size, Share & Trends Analysis Report By Product, By Technology, By Surgery Type, By Procedure Type, And Segment Forecasts, 2023 - 2030

Report Overview

The global spinal implants & devices market size was valued at USD 12.8 billion in 2022 and is projected to expand at a compound annual growth rate (CAGR of 5.2% in the forecast period from 2023 to 2030. The market growth can be attributed to the growing incidences of spinal cord injuries (SCIs) across the globe. Compression of the spinal cord or injury causes damage from the outside of the cord. This compression is mainly due to either spinal degeneration, bone fracture, or abnormalities, such as a hematoma or herniated disk.

WHO data states that approximately 250,000 and 500,000 SCI cases occur every year across the world. The majority of the SCIs are caused due to preventable causes such as falls, road traffic accidents, and violence. According to WHO, the estimated incidence of SCI annually is 40-80 cases per million in the world. The mortality risk is higher among SCI patients since they lead to premature deaths 2 to 5 times more likely than patients who do not have SCI. The majority of the traumatic SCIs are due to work or sports-related injuries. Moreover, the increasing geriatric population and the number of people with obesity frequently develop symptoms associated with spinal disorders such as spinal stenosis that further boost the demand for spinal implant surgeries, thereby propelling the market growth. Obesity also tends to worsen an existing low back problem and can lead to the recurrence of the condition. The major spine-related disorders pertaining to the geriatric population include degenerative disc diseases, spondylolisthesis, vertebral compression fractures, and spinal stenosis.

The rise in road traffic crashes has significantly led to an increase in the number of SCIs. Based on National Spinal Cord Injury Statistical Center (NSCSC) data, motor vehicle accidents such as cars, as well as steamrollers, bulldozers, forklifts, and other unclassified vehicles are some of the driving factors in SCI causes. As per NCBI, based on a study enrolling all patients with spinal fractures after car accidents, the lumbosacral spine was the most commonly involved region. Some of the common motor vehicle accident-related spine injuries include whiplash (it is a neck/cervical spine injury), herniated disc, and vertebral fractures. According to the National Spinal Cord Injury Statistical Center at UAB, from 2018 to 2019, fall was the second-leading cause of SCI (31.8%). In the U.S., fall-induced SCI has significantly increased over the last 4 decades and it is common among people aged 65 years and above. Based on NCBI, around 75% of SCI cases due to falls come under 76 years of age and older population.

The existence of numerous market players accompanied by funds raised by the government for research and development further leads to technological evolution. One of the key technological trends reinforcing the spinal implants & devices market is the use of computer-based navigation systems and titanium implants that provide real-time images of the spine and clear MRI images, respectively. This enhanced the scope of minimally invasive surgeries as compared to open back surgeries. A significant advancement in the spinal surgery market was the launch of NuVasive’s Pulse integrated technology platform. It is the first, single platform that has multiple technologies so that surgeons can undertake more safe & effective and less disruptive surgical methods in all spine procedures.

The market is moving toward consolidation, wherein the major players are acquiring potential start-ups and mid-sized players to increase their dominance in the industry. For instance, in February 2021, NuVasive acquired Simplify Medical, a privately held company and developer of the Simplify Cervical Artificial Disc for cervical total disc replacement (cTDR). In March 2021, IMPLANET offered to acquire a majority stake in Orthopedic & Spine Development (OSD) specializing in spine surgical implants.

The COVID-19 pandemic has impacted the spine surgery market to a great extent. Based on a survey in Central Europe, about 90% of the participants noticed a reduction in the number of degenerative spinal disease patients in outpatient clinics. The study also noticed that around 50% of the surgeons who developed SARS-CoV2 canceled all elective and semi-elective procedures. 36% of the surgeons postponed decompression surgery or lumbar disc with minor symptoms.

Product Type Insights

The spinal implants & devices market is segmented by product types into spinal fusion devices, spinal biologics, vertebral compression fracture treatment devices, non-fusion devices, and spinal bone growth stimulators. Spinal Fusion Devices segment dominated the market with share of 58.7% in 2022 due to the growing number of spinal fusion surgeries. Technological innovations in spine fusion procedures with or without internal fixation have led to high growth. In addition, expanded indications for spine fusions have also contributed to the high demand. Some of them include congenital or degenerative deformity, spondylolisthesis, spinal tumors, and pseudarthrosis. The non-fusion procedure is, however, an effective alternative to spinal fusion that affixes two or more bones in the spine permanently.

Vertebral compression fracture treatment devices segment is anticipated to grow at the fastest rate of 6.3% during the forecast period because these devices are extensively used in minimally invasive surgeries (MIS). Osteoporosis commonly leads to a vertebral compression fracture in the spinal column. Vertebroplasty, a type of vertebral compression fracture treatment, helps regain lost mobility in nearly 75% of patients.

Among spinal biologics, allografts and autografts are commonly used bone graft options for patients undertaking spinal fusion. Bone graft substitutes are also widely used as they lead to minimum side effects while attempting to mimic the benefits of transplanted bone.

Technology Insights

The spinal implants & devices market is segmented by technology into spinal fusion and fixation technologies, vertebral compression fracture treatment, and motion preservation technologies. Spinal Fusion and Fixation Technologies segment dominated the market with share of 68.2% in 2022 as they include a wide variety of surgical techniques; these comprise both posterior approaches and anterior approaches. Some of the commonly performed posterior approaches include posterolateral gutter fusion surgery, posterior lumbar interbody fusion (PLIF) surgery, and transforaminal lumbar interbody fusion (TLIF) surgery.

Motion Preservation Technologies segment is anticipated to grow at the fastest rate of 8.1% during the forecast period because they provide a better alternative than spinal fusion for patients with lumbar spinal stenosis, degenerative disc disease, and facet pain. This technology is classified into total disc replacement (TDR), prosthetic nucleus replacement, posterior dynamic devices, and facet replacement.

Surgery Type Insights

The spinal implants & devices market is segmented by surgery type into open surgery and MIS. Although gradually declining, however, open spine surgery is still widely performed. Open surgery has many adverse effects that include elevated operational time, and high invasiveness, due to which, the majority of the procedures result in excessive blood loss, thus posing a greater risk of damage or infection to normal tissues.

MIS, on the other hand, is commonly preferred by both doctors as well as patients. Therefore, MIS is expected to showcase the highest growth rate during the forecast period. Surgeons use advanced instruments to perform spinal surgeries through small incisions. There is less risk of muscle and soft tissue injury in MIS because the incisions made are much smaller as compared to open surgery. MIS is guided by advanced navigation systems and is computer-based, thus ensuring a higher accuracy level.

Procedure Type Insights

The spinal implants & devices market is segmented by procedure type into discectomy, laminotomy, foraminotomy, corpectomy, and facetectomy. Laminotomy segment dominated the market with share of 38.1% in 2022 because it is the most common type of spine procedure performed. Laminectomy and discectomy are frequently performed together. These are decompressive types of surgery, which are most commonly performed in the U.S.The average cost of spinal decompression surgery in the U.S. is USD 23,500.

Foraminotomy segment is anticipated to grow at a fastest rate of 5.9% over the forecast period. The growing acceptance of MIS procedures among the patient population is expected to drive the market in the coming few years. This procedure is majorly used in the treatment of foraminal stenosis and pinched nerves. This procedure is successful in the majority of the patients and complications appearing are rare in the case of foraminotomy.

Regional Insights

North America segment dominated the market with share of 48.8% in 2022 due to the rise in the number of SCIs in the U.S. Technological advancements have also led to high growth in the U.S. spine market which is further contributing to the regional market growth. Healthcare reimbursement has played a vital role in driving the demand for spinal implants in the country. Key players have also gained significant market revenue in the U.S.

Asia Pacific segment is anticipated to grow at a fastest rate of 7.2% during the forecast period due to rising new SCI cases in China and India. Japan, with its technologically advanced spine procedures, has also contributed to the high growth. The growing geriatric population coupled with rising in vehicular accidents is also significantly driving the regional growth.

Spinal Implants & Devices Market Share Insight

Key players are undertaking various strategic initiatives to gain market shares such as mergers & acquisitions, technological collaborations, partnerships, and innovative product developments & launches. In October 2021, NuVasive launched Cohere TLIF-O implant and also announced the upcoming launch of the Cohere TLIF-A implant for posterior spine surgery. In November 2020, Medtronic completed its friendly tender offer for Medicrea International. Medicrea is a French company that specializes in spinal surgery technologies through predictive modeling, AI, and patient-specific implants. Based on the tender offer, Medtronic owns more than 90% of Medicrea's share capital and voting rights. Some of the prominent players in the global spinal implants & devices market include:

• Medtronic

• Johnson & Johnson

• Stryker

• NuVasive

• Zimmer Biomet

• Globus Medical, Inc.

• Alphatec Spine, Inc.

• Orthofix Holdings, Inc.

• RTI Surgical Holdings

• Ulrich GmbH & Co. KG

• B. Braun Melsungen AG

• Seaspine Holdings Corporation

Spinal Implants & Devices Market Report Scope

Global Spinal Implants & Devices Market Segmentation

This report forecasts revenue growth at global, regional, & country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2016 to 2030. For this study, Grand View Research, Inc. has segmented the global spinal implants & devices market report based on product, technology, surgery type, procedure type, and region:

• Product Outlook (Revenue, USD Million, 2016 - 2030)

  • Spinal Fusion Devices

    • Thoracic & Lumbar Fusion Devices

    • Cervical Fusion Devices

  • Spinal Biologics

    • Allografts

    • Xenografts

    • DBM

    • BMP

    • Synthetic Bone Grafts

  • Vertebral Compression Fracture Treatment Devices

  • Non-fusion Devices

  • Spinal Bone Growth Stimulators

• Technology Outlook (Revenue, USD Million, 2016 - 2030)

  • Spinal Fusion And Fixation Technologies

  • Vertebral Compression Fracture Treatment

    • Vertebroplasty

    • Kyphoplasty/Vertebral Augmentation

  • Motion Preservation Technologies

• Surgery Type Outlook (Revenue, USD Million, 2016 - 2030)

  • Open Surgery

  • Minimally Invasive Surgery

• Procedure Type Outlook (Revenue, USD Million, 2016 - 2030)

  • Discectomy

  • Laminotomy

  • Foraminotomy

  • Corpectomy

  • Facetectomy

• Regional Outlook (Revenue, USD Million, 2016 - 2030)

  • North America

    • U.S.

    • Canada

  • Europe

    • U.K.

    • Germany

    • France

    • Italy

    • Spain

    • Russia

  • Asia Pacific

    • China

    • Japan

    • India

    • Australia

    • South Korea

    • Singapore

  • Latin America

    • Brazil

    • Mexico

    • Argentina

  • Middle East and Africa

    • South Africa

    • Saudi Arabia

    • UAE