Spinal Fusion Market - Industry Analysis, Market Size, Share, Trends, Application Analysis, Growth And Forecast 2021 - 2026

Report Code: HCR 46946 Report Format: PDF + Excel


Spinal Fusion Market size is forecast to reach $8.64 billion by 2025, growing at a CAGR of 3.87% during the forecast period 2020-2025. Spinal fusion, also called spondylodesis or spondylosyndesis, is a neurosurgical or orthopedic surgical technique that joins two or more vertebrae. Increasing prevalence of spinal cord injuries and growing geriatric population are the major factors driving the growth of the market. Surging prevalence of spinal deformities due to increasing road accidents along with increasing health expenditure in developing countries will further enhance the overall market demand of spinal fusion during the forecast period.

Key Takeaways

·         North America dominates the Spinal Fusion Market owing to well established healthcare facilities, favorable reimbursement policies, and availability of advanced technologies.

·         Increasing geriatric population and rising number of road accidents and advancements in the surgical procedure along with surge in healthcare expenditure is likely to aid in the market growth of spinal fusion.

·         Detailed analysis on the Strength, Weakness and opportunities of the prominent players operating in the market will be provided in the Spinal Fusion Market report.

·         High cost associated with the treatment and stringent regulatory approval procedure of these devices can create a hurdle for the growth of the market. Spinal Fusion market,

Device Type - Segment Analysis

Based on the device type, pedicle screw systems held the largest share in the spinal fusion market in 2019 and will grow at a CAGR of 2.6% during the forecast period 2020-2025.This is mainly owing to the benefits associated with the use of these device such as ease of use, lesser recovery time, and cost efficiency. However, Interbody Cages segment is estimated to be the fastest growing segment during the forecast period 2020-2025, owing to its availability in various materials such as titanium, stainless steel, polyether ether ketone (PEEK) and bio-absorbable material. Bio-absorbable or resorbable materials (poly-L-lactic acid) are becoming increasingly popular owing to their special property of being absorbed in the body over time. This eliminates repeat surgery required to remove the implant after the bones have healed. Moreover bio-absorbable materials does not suffer from effects of magnetic field or magnetic resonance (MR) effect and facilitate better imaging. Demand for minimally invasive procedures has increased as are less painful and allow quick recovery.

End User - Segment Analysis

Hospitals accounted for the major share in the spinal fusion market in 2019 and is estimated to grow at a CAGR of 3.7% during the forecast period 2020-2025. Growing patient pool and rising demand for efficient and effective surgery with shorter recovery time and reduced hospital stay are key factors driving the growth of this segment in the spinal fusion market. The availability of advance technologies and demand for minimally invasive surgical procedure is also contributing in the growth of this segment. Recently, ambulatory surgical centers are also gaining popularity in the spinal fusion market.

Geography - Segment Analysis

North America dominated the spinal fusion market share accounting for more than 36.4% of the overall market. Robust healthcare infrastructure combined with focus on development of new devices along with improved diagnosis among the patients are helping in this region growth. Medicare estimates that more than $200 million was spent on improperly indicated spinal fusion procedures in 2011. The favorable reimbursements policies and presence of key players in this region is also supporting the growth of the spinal fusion market. However, a decrease in the market share of the North American region is being anticipated in the forecast period as compared to the historic period.

However, Asia-Pacific is estimated to grow at a higher CAGR during the forecast period. This is owing to the rise in in incidence of spinal disorders and increase in healthcare expenditure. Furthermore, rapidly aging population, low cost of the spinal procedures in countries such as India as compared to that of developed countries such as the U.S. have further increased the demand for spinal implants. Spinal surgery is performed at over 2,000 hospitals in India, with complex and sophisticated surgeries such as microscopic spine surgery being performed in at least 500 multi-faculty spinal surgery hospitals and super speciality hospitals. According to an article published in “Tohoku Journal of Experimental Medicine” in February 2016, approximately 23.1% of the Japanese population was aged above 65, and 11.4 % was aged above 75 by end of 2010.The same study stated that in 2012, approximately half of the patients with lumbar spinal stenosis (LSS) and cervical myelopathy were more than 70 years of age.

Drivers – Spinal Fusion Market

·         Rising number of aging population

The rising number of aging population across the globe is a major factor in the growth of the spinal fusion market. According to the American Association of Neurological Surgeons, more than 65 million Americans suffer from lower back pain, annually, while according to the Chicago Institute of Neurosurgery and Neuroresearch, by the age of fifty, 85% of the population is likely to show evidence of disc degeneration. So, with the growing geriatric population, the number of people suffering from lower back pain and other degenerative spinal conditions is expected to increase during the forecast period. By 2025, 30.5% of the population is estimated to be over 65 years. Rapidly ageing population has major impacts on the society, particularly in the medical field.


·         Advancements in surgical procedure and surge in healthcare expenditure

Currently, surgeons follow traditional approach for surgery, increasing knowledge of minimally invasive techniques among surgeons and patients will accelerate the growth of the market. Moreover, technological evolution in the medical industry has given rise to a number of minimally invasive procedures for spinal surgeries. With minimally invasive techniques, patients are offered an option safer than open surgeries. Increasing awareness towards treatment in both developed and developing countries and preference towards preventive healthcare over reactive and external partnerships in research are driving development and growth of spinal fusion market.

Challenges – Spinal Fusion Market

·         High cost associated with the treatment

High price of the spinal fusion surgeries and high setup cost is and unavailability of proper healthcare infrastructure in some regions of the world can hinder the growth of the market. However, unfavorable reimbursement scenario and stringent regulatory approval procedure of these devices are expected to limit the market growth. Growing research on alternative treatment options are some factors expected to hamper the growth of the global spinal fusion market over the forecast period.  

Spinal Fusion Industry Outlook

Product launches, Merger & Acquisitions, joint ventures and R&D activities are key strategies adopted by players in the spinal fusion market. In 2019, the spinal fusion market share is consolidated by the top ten players. Spinal fusion top 10 companies are Medtronic, Plc, Johnson & Johnson, Stryker Corporation, Zimmer Biomet Holdings, Inc., NuVasive, Inc, Globus Medical Inc., RTI Surgical, Inc, SeaSpine Holdings Corporation, Spine Wave, Inc., Spinal Elements, Orthofix Medical, Inc., and B. Braun Melsungen AG among others.

Acquisitions/Product Launches

  • Majority of companies i.e., NuVasive, Inc., Globus Medical, and SeaSpine Holdings Corporation are launching novel products into the market and sustaining the competition through the development of a wide range of products in the spinal fusion devices market.
  • Companies i.e. Medtronic, Plc and Stryker Corporation are acquiring companies to improve their position in the spine market and to improve their product portfolio and global presence.
  • Medtronic plc signed a definitive agreement to acquire Titan Spine, to alter spinal procedures and improve procedural solutions.
  • Globus Medical, Inc. partnered with the Society of Lateral Access Surgery's (SOLAS), to support key educational and research initiatives to advance lateral access surgery.
  • In September 2018, Johnson & Johnson Medical Devices Companies announced that they have acquired Emerging Implant Technologies GmbH (EIT) so that they can expand their portfolio for both minimally invasive and open spinal fusion surgery. The main aim is to provide more interbody solutions options to the surgeons, so that they can provide better treatment to the patients.
  • In June 2018, CoreLink announced that they have acquired an Israeli medical device company so that with use of FLXfit and FLXfit 15 titanium transforaminal lumbar interbody fusion systems they can expand their orthopedics portfolio. The main aim is to provide customers with advanced technology for the better treatment and will also help them to expand their business.

1. Spinal Fusion Market - Overview
        1.1 Definitions and Scope
2. Spinal Fusion Market - Executive summary
        2.1 Market Revenue, Market Size and Key Trends by Company
        2.2 Key Trends by type of Application
        2.3 Key Trends segmented by Geography
3. Spinal Fusion Market
        3.1 Comparative analysis
            3.1.1 Product Benchmarking - Top 10 companies
            3.1.2 Top 5 Financials Analysis
            3.1.3 Market Value split by Top 10 companies
            3.1.4 Patent Analysis - Top 10 companies
            3.1.5 Pricing Analysis
4. Spinal Fusion Market - Startup companies Scenario Premium
        4.1 Top 10 startup company Analysis by
            4.1.1 Investment
            4.1.2 Revenue
            4.1.3 Market Shares
            4.1.4 Market Size and Application Analysis
            4.1.5 Venture Capital and Funding Scenario
5. Spinal Fusion Market - Industry Market Entry Scenario Premium
        5.1 Regulatory Framework Overview
        5.2 New Business and Ease of Doing business index
        5.3 Case studies of successful ventures
        5.4 Customer Analysis - Top 10 companies
6. Spinal Fusion Market Forces
        6.1 Drivers
        6.2 Constraints
        6.3 Challenges
        6.4 Porters five force model
            6.4.1 Bargaining power of suppliers
            6.4.2 Bargaining powers of customers
            6.4.3 Threat of new entrants
            6.4.4 Rivalry among existing players
            6.4.5 Threat of substitutes
7. Spinal Fusion Market -Strategic analysis
        7.1 Value chain analysis
        7.2 Opportunities analysis
        7.3 Product life cycle
        7.4 Suppliers and distributors Market Share
8. Spinal Fusion Market - By Device Type(Market Size -$Million / $Billion)
8.1 Market Size and Market Share Analysis
8.2 Application Revenue and Trend Research
8.3 Product Segment Analysis
8.3.1 Spinal Plating Systems
8.3.2 Pedicle Screw Systems
8.3.3 Interbody Cages
9. Spinal Fusion Market - By Procedure Type(Market Size -$Million / $Billion)
9.1 Posterior Lumbar Interbody Fusion (PLIF)
9.2 Anterior Lumbar Interbody Fusion (ALIF)
9.3 Anterior/Posterior Spinal Fusion
9.4 Transforaminal Lumbar Interbody Fusion (TLIF)
9.5 Extreme Lateral Interbody Fusion (XLIF)
10. Spinal Fusion - By Application Type(Market Size -$Million / $Billion)
11. Spinal Fusion- By Geography (Market Size -$Million / $Billion)
        11.1 Global Spinal Fusion Market - North America Segment Research
        11.2 North America Market Research (Million / $Billion)
            11.2.1 Segment type Size and Market Size Analysis
            11.2.2 Revenue and Trends
            11.2.3 Application Revenue and Trends by type of Application
            11.2.4 Company Revenue and Product Analysis
            11.2.5 North America Product type and Application Market Size
         Rest of North America
        11.3 Global Spinal Fusion- South America Segment Research
        11.4 South America Market Research (Market Size -$Million / $Billion)
            11.4.1 Segment type Size and Market Size Analysis
            11.4.2 Revenue and Trends
            11.4.3 Application Revenue and Trends by type of Application
            11.4.4 Company Revenue and Product Analysis
            11.4.5 South America Product type and Application Market Size
         Costa Rica
         Rest of South America
        11.5 Global Spinal Fusion- Europe Segment Research
        11.6 Europe Market Research (Market Size -$Million / $Billion)
            11.6.1 Segment type Size and Market Size Analysis
            11.6.2 Revenue and Trends
            11.6.3 Application Revenue and Trends by type of Application
            11.6.4 Company Revenue and Product Analysis
            11.6.5 Europe Segment Product type and Application Market Size
         Rest of Europe
        11.7 Global Spinal Fusion - APAC Segment Research
        11.8 APAC Market Research (Market Size -$Million / $Billion)
            11.8.1 Segment type Size and Market Size Analysis
            11.8.2 Revenue and Trends
            11.8.3 Application Revenue and Trends by type of Application
            11.8.4 Company Revenue and Product Analysis
            11.8.5 APAC Segment - Product type and Application Market Size
         South Korea
         Hong Kong
         Rest of APAC
        11.9 Global Spinal Fusion - Middle East Segment and Africa Segment Research
        11.10 Middle East & Africa Market Research (Market Size -$Million / $Billion)
            11.10.1 Segment type Size and Market Size Analysis
            11.10.2 Revenue and Trend Analysis
            11.10.3 Application Revenue and Trends by type of Application
            11.10.4 Company Revenue and Product Analysis
            11.10.5 Middle East Segment Product type and Application Market Size
         Saudi Arabia
            11.10.6 Africa Segment Analysis
         South Africa
         Rest of Middle East & Africa
12. Spinal Fusion Market - Entropy
        12.1 New product launches
        12.2 M&A s, collaborations, JVs and partnerships
13. Spinal Fusion Market - Industry / Segment Competition landscape Premium
        13.1 Market Share Analysis
            13.1.1 Market Share by Country- Top companies
            13.1.2 Market Share by Region- Top 10 companies
            13.1.3 Market Share by type of Application - Top 10 companies
            13.1.4 Market Share by type of Product / Product category- Top 10 companies
            13.1.5 Market Share at a global level - Top 10 companies
            13.1.6 Best Practises for companies
14. Spinal Fusion Market - Key Company List by Country Premium
15. Spinal Fusion Market Company Analysis
15.1 Market Share, Company Revenue, Products, M&A, Developments
15.2 Trauson
15.3 Depuy Synthes Companies
15.4 Biomet, Inc.
15.5 Medtronic, Inc
15.6 Nuvasive Inc,
15.7 Stryker Corporation
15.8 Zimmer Holding, Inc.
15.9 Orthofix International N.V
15.10 B. Braun Aesculap
15.11 Weigao Orthopaedic Device Co., Ltd.
15.12 Company 11
15.13 Company 12 & More
*Financials would be provided on a best efforts basis for private companies
16. Spinal Fusion Market - Appendix
        16.1 Abbreviations
        16.2 Sources
17. Spinal Fusion Market - Methodology
        17.1 Research Methodology
            17.1.1 Company Expert Interviews
            17.1.2 Industry Databases
            17.1.3 Associations
            17.1.4 Company News
            17.1.5 Company Annual Reports
            17.1.6 Application Trends
            17.1.7 New Products and Product database
            17.1.8 Company Transcripts
            17.1.9 R&D Trends
            17.1.10 Key Opinion Leaders Interviews
            17.1.11 Supply and Demand Trends

List of Tables

1 US Spinal Fusion Market Size 2018
2 Canada Spinal Fusion Market Share 2018
3 Brazil Spinal Fusion Market Outlook 2019 - 2023
4 Mexico Spinal Fusion Market Research 2018
5 Germany Spinal Fusion Market Trends 2019 - 2023 
6 France Spinal Fusion Market Growth 2019 - 2023 
7 UK Spinal Fusion Market Demand 2019 - 2023 
8 Italy Spinal Fusion Market Segmentation 2018
9 Russia Spinal Fusion Market Analysis 2019 - 2023
10 China Spinal Fusion Market Revenue 2019 - 2023
11 Japan Spinal Fusion Market Volume 2019 - 2023
12 South Korea Spinal Fusion Market Potential 2019 - 2023
13 India Spinal Fusion Market Leaders 2018
14 Saudi Arabia Spinal Fusion Market Forecast 2019 - 2023 
15 Kuwait Spinal Fusion Market Value 2018

List of Figures

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