Publisher estimates that the spinal
fusion market in 2013 was valued at $4,775m across the 10 regions covered in
this report, which include the United States (US), France, Germany, Italy,
Spain, the United Kingdom (UK), Japan, Brazil, India and China. By the end of
the forecast period in 2020, sales will have grown to $6,982m, with a Compound
Annual Growth Rate (CAGR) of 5.58%.
Global
Outlook
Publisher forecasts that the United
States will continue to occupy the majority of the global spinal fusion market
through 2020. The country’s global market share will decline over the forecast
from 71% in 2013 to 63% in 2020. It will also experience one of the lowest
CAGRs over the forecast given how mature the market is in the country and newly
enacted reimbursement hurdles from public health payers.
Like other medical device markets,
emerging economies will be a source of large growth rates over the forecast
period. For example, China will experience double digit growth rates through
2020 and this will increase its global market share from 5% in 2013 to 10% in
2020. Additionally, select established economies in the European Union will
experience large growth rates over the forecast period including the United
Kingdom and Italy. The primary reason for their growth is the increasing
procedure volumes for spinal fusion surgeries owing to favorable reimbursement
levels and patient’s willingness to undergo surgery with minimally invasive
techniques.
Future
Outlook
While the spinal fusion market is
expected to see growth over the forecast period, there are 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 prolonged periods
of conservative treatment 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.
However, despite these barriers the
spinal fusion market will experience growth over the forecast. One of primary
drivers is the well-known phenomenon of nearly every global economy having a
larger proportion of a country’s age demographics shift toward the later years
in life. This means that the potential patient population that could develop
the conditions the procedure treats will increase. Another market driver is
that minimally invasive techniques are being utilized during spinal fusion
surgery to reduce the damage done to the patient while maintaining or improving
surgeon visualization. Studies have found that these techniques result in
faster return to work/play, better long-term patient function, and a decreased
hospital stay. Minimally invasive techniques have appealed to spinal surgery
candidates and have increased the patient population to include people that
would have declined the operation given its invasiveness and risks.
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