Industry Trends

The global minimally invasive spine surgery market (MIS) is considered by many to be the most exciting and controversial segment of the orthopedics industry. This market has traditionally been a segment of the orthopedics market but, due to rapid growth and a large market size, many manufacturers view spine as a key business division separate from traditional orthopedics.

The biggest limiting factor for the MIS device market is the complexity of the procedures and the skill required to master them. In particular, percutaneous techniques and, to a lesser extent, retractor techniques, are considered by many to be significantly more difficult to master than traditional open surgical methods. Older generations of doctors and surgeons are especially reluctant to switch to MIS, as it takes a considerable time investment to master the procedure.

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

The MIS interbody market continues to see a shift toward OLIF and LLIF devices and away from MIPLIF and MITLIF devices. The oblique and lateral lumbar approaches are expected to see more
growth than their posterior and transforaminal lumbar counterparts, although positive growth is expected across segments.

The fastest growing segment in the United States and European regions is the spine endoscopy segment. This was the result of both endoscope and endoscope instrumentation sales. Spine endoscopes are visualization instruments that allow for an MIS approach to various procedures. By allowing direct visualization into the spinal canal, these endoscopes facilitate the investigation of nerve compression, inflammation, scarring or abnormalities in the spinal space. In recent years, technological advancements in digital imaging have led to the use of high definition (HD) cameras in conjunction with spine endoscopes. This market is expected to see the highest CAGR overall. However, this segment also makes up by far the smallest in terms of procedures and unit sales.

Report Regional Coverage

Throughout this research series, iData has covered several countries in great detail. Each country may be purchased as a stand-alone report, tailoring the data to your needs. The covered countries are:

• United States
• Europe (15 countries including: Germany, France, U.K., Italy, Spain, Benelux (Belgium, Netherlands and Luxembourg), Scandinavia (Denmark, Finland, Norway and Sweden) Austria, Switzerland and Portugal)
• Japan
• Taiwan
• China
• South Korea
• Australia
• Brazil
• Mexico

The Only Medical Device Market Research With:
✔ Procedure Volume Data & Trends ✔ Unit Sales Growth Analysis ✔ Average Selling Prices ✔ Competitor Shares by Segment & Country ✔ SKU-Level Research Methods ✔ The Lowest Acquisition Cost	Request a FREE Sample Report

Highly Detailed Segmentation

While this report suite contains all data, each of the markets are also available as stand alone MedCore reports. This allows you to get access to only the research that you need. You can view all these included reports and segmentation here:

• Procedure Numbers for Minimally Invasive Spine Surgery – MedPro
• MIS Interbody Devices Market – MedCore
• MIS Pedicle Screws Market – MedCore
• Spinous Process Fixation Market – MedCore
• Facet Fixation Market – MedCore
• MIS Sacroiliac Joint Fusion Market – MedCore
• Spinal Endoscopy Market – MedCore
• MIS Instrumentation Market – MedCore

Buying all of these reports together in this suite package will provide you with substantial discounts from the separate prices. Request Pricing to Learn More

Full Segmentation Map for the United States

Report Data Types Included

• Unit Sales, Average Selling Prices, Market Value & Growth Trends
• Forecasts Until 2025, and Historical Data to 2015
• Market Drivers & Limiters for Each Device Segment
• Competitive Analysis with Market Shares for Each Segment
• Recent Mergers & Acquisitions
• Procedure Volumes
• Disease Overviews and Demographic Information
• Company Profiles, Product Portfolios and SWOT for Top Competitors
• Related Press Releases from Top Competitors

Minimally Invasive Spine Surgery Market Share Insights

Medtronic leads the overall shares in the U.S. and European minimally invasive spine market, but only slightly more than Nuvasive in the U.S., and slightly more than DePuy Synthes in Europe. The company has established this role through strong performance in most segments, particularly the MIS interbody devices, MIS pedicle screw, spinous process fixation, facet fixation and MIS instrumentation markets. Medtronic was not present in the spine endoscope markets.

Nuvasive has experienced strong growth and has the leading share in the MIS interbody device segment in the United States, as well as shares in the MIS pedicle screw, spinous process fixation, facet fixation and MIS instrumentation segments. NuVasive was not present in the MIS sacroiliac or spine endoscope markets. While NuVasive continues to expand its presence in other areas of the spinal market, the XLIF® procedure is one of the company’s best-known products. The XLIF® procedure involves a lateral approach to the patient, rather than an anterior or posterior approach.

DePuy Synthes is the second leading competitor within the European region. DePuy Synthes’ MIS product portfolio contains a number of devices that are widely used in the spinal implant industry. The company was the leading competitor in the European MIS interbody device segment and held a strong position in the MIS pedicle screw segment. Products such as their MIS lateral platform and percutaneous pedicle screw system helped DePuy Synthes gain market share in these segments.

The minimally invasive spinal implants market contains nearly 100 companies that were analyzed in this study, many of which are smaller companies with less than 2% market share. For a full list of spinal device manufacturers studies, see the table below.

Minimally Invasive Spinal Implants Statistics and Procedure Trends

There are more procedures using minimally invasive spinal (MIS) pedicle screws than any other MIS device segment. Approximately 100,000 MIS pedicle screw procedures are performed each year in the United States, with this number growing at mid-to-low single digit rates each year.

Outside of the United States, most regions have much fewer MIS procedures performed, as expected, but considerably lower than simply population and market size differences. The trends here seem to reflect that of adoption rate differences for this type of technology, partly due to the complexity of these procedures and the training and education required to perform them.

MIS thoracolumbar fixation procedures made up the largest procedure segment in the European MIS market, with interbody device procedures, and spinous process fixation procedures coming in at second and third-largest segments respectively.

Latest Market Developments

March 7, 2019 – RTI Surgical announces acquisition of Paradigm Spine

January 28, 2019 – Medtronic launches Mazor X™ Stealth Edition – fully-integrated procedural solution for surgical planning, workflow, execution and confirmation for spine procedures (robot-assisted spinal surgery)

January 19, 2019 – DePuy Synthes (EU) invests €36 million into 3D printing research

November 9, 2018 – Stryker completes acquisition of K2M