Deep Analysis of Impact of COVID-19 on “Spinal Implants & Devices Market 2022-2030” Growth Worldwide….

Posted by Mrudula Anil Karmarkar on September 14th, 2022

The global spinal implants & devices market size is expected to reach USD 19.0 billion by 2030 and is expected to expand at a CAGR of 5.1% in the forecast period, from 2022 to 2030, according to a new report by Grand View Research, Inc. The growing number of vehicular accidents is leading to increasing new cases of spinal cord injuries (SCIs). Other causes of SCIs include falls, violence, acts of violence, sports and recreation injuries, and diseases. Vehicular or road accidents and falls account for the majority of SCI cases.

Fall-induced SCI is common among people aged 65 years and above. Acts of violence such as gunshot wounds or knife wounds account for around 12% of SCI cases. Sports activities such as diving in shallow water and impact sports lead to nearly 10% of SCIs. Cancer, osteoporosis, arthritis, and inflammation of the spinal cord also cause SCI.

Based on National Spinal Cord Injury Statistical Center data, around 296,000 U.S. population are currently living with SCI. SCI cases are rising; according to WHO, about 90 % of SCI cases are traumatic, however, the number of non-traumatic SCI cases is rising. Further, it stated that around 20-30% of SCI patients showed clinically significant signs of depression. This adversely affects patients’ improvements in functioning and overall health. The consequences associated with SCI arise mainly due to inadequate access to medical care and rehabilitation services. Approximately 5-15 % of the population in middle- and low-income countries have access to the assisted devices needed to post spinal surgery.

Technological innovations in the field of spine surgery is also driving the market growth. Aprevo, by Carlsmed, is the first digital-to-device patient-specific interbody technology to treat adult spinal deformity (ASD). This system uses patient imaging data to create patient and surgeon-specific plans and develops personalized 3D printed spinal implants to achieve each plan. The titanium aprevo implants are personalized by shape, size, height, and coronal and lordotic angles. Since these implants provide more effective ASD treatment than a standard of care, so, in 2021, the U.S. FDA awarded aprevo Breakthrough Technology status.

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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.

Spinal Implants & Devices Market Report Highlight

• Spinal fusion devices dominated the market in 2021 because it is considered the gold standard and has been widely used in spinal surgery, however, non-fusion devices such as dynamic stabilization devices and total disc replacement (TDR) are being preferred more among the young and active patients.
• With the rising preference for minimally invasive surgeries (MIS), the need for spinal implant surgeries has increased. The rate of recovery is comparatively more in MIS as compared to open surgery which has further led to the high growth of MIS.
• North America dominated the market in 2021 due to the launch of new products and technological advancements in the U.S.
• Key players are also undertaking various strategic initiatives that have led to their high revenue growth in the U.S.

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 2022, 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.

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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.

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