Solid Growth Predicted for Spinal Fusion Devices Market

Strong support is foreseen for the global spinal fusion devices market this decade, with annual growth averaging 5.8% and the sector’s overall value reaching $12.99 billion by 2030 (up from $8.27 billion in 2022), according to Insight Partners data. The company attributes the market’s growth to technological advancements and increasing numbers of spinal fusion procedures.
 
The global spinal fusion devices market, by product type, is segmented into thoracolumbar devices, cervical fixation devices, and interbody fusion devices. The latter market sector is forecast to expand 6.5% annually over the next six years due to developments in interbody fusion device design and manufacture. 

Thoracolumbar devices are used to steady the spine, which can become unstable from an injury. Categorized into anterior lumbar plates, pedicle screws, and other, thoracolumbar devices are intended to fix posture by aligning and stabilizing the spine during the healing process and allowing fusion. Thoracolumbar devices are used in both open spine surgery type and minimally invasive spine surgery (MISS). In 2022, the thoracolumbar devices segment held the largest market share by product type. NuVasive Inc.; Stryker Corp.; Spinal Elements Inc.; and Globus Medical Inc. are among the key players that make thoracolumbar devices and hold significant market share.

Anterior lumbar plates are attached with screws that provide additional spine stability and are used in both anterior lumbar corpectomy and fusion procedures. Anterior lumbar corpectomy and fusion is a specialized spinal decompression and fusion procedure that requires an incision at the sides of the body through the abdominal region. The incision is required to remove bone and tissue that causes the spine and surrounding nerves to compress. During an anterior lumbar corpectomy and fusion procedure, the entire vertebral body and disc are usually replaced with a bone graft to repair the damage. Thus, anterior lumbar plates fix and stabilize the bone graft. ATEC Spine Inc.; GS Solutions Inc.; and Globus Medical, among others, offer anterior lumbar plates in the market.

Pedicle screws are made of titanium or stainless steel and used to help secure plates or rods to the spinal segments during spinal fusion procedures. Pedicle screws are positioned at two or three consecutive spinal segments and are connected with a rod. Placed above and below the fused vertebrates, pedicle screws provide extra support to a fusion and help expedite healing. In October 2020, Stryker marked the 1 million sales milestone of its Mesa Pedicle Screw (released to market in 2006). Insight Partners expects pedicle screw demand to increase this decade as more injured and aging patients undergo spinal procedures. 

Other thoracolumbar devices include wires, cables, rods, cages, hooks, and hook-holds; they are generally made of stainless steel, titanium, or cobalt chrome. These devices provide a strong spine anchor mechanism, help correct deformities, and straighten the spine.
 
Evolution in medical technology has allowed several innovations in the spinal industry, not the least of which is robotic spine surgery. 3D printing is expanding its footprint and companies increasingly are developing and commercializing 3D-printed spinal implants. In July 2021, Orthofix Medical launched its 3D-printed FORZA Ti PLIF Spacer System, designed for posterior lumbar interbody fusion (PLIF) surgeries. Similarly, in April 2021, the company launched the Construx Mini Ti spacer system for anterior cervical discectomy and fusion procedures.
 
Likewise, in April 2023, ZSFab reported their 3D-printed titanium implant with a triply periodic minimal lattice structure—a cervical interbody system for anterior cervical discectomy and fusion. ZSFab has shown positive results in two U.S. clinical cases. In 2021, the system received U.S. Food and Drug Administration (FDA) 510(k) clearance; the device is intended to support the fusion of two vertebrae after removing a damaged disc.
 
Developments allow patient-specific 3D-printed implants to increase potential benefits to surgical outcomes. In June 2022, Aurora Spine received FDA’s 510(k) clearance for its Dexasolo-L spinal fusion system, which is designed and personalized using the patient’s bone density and quality. Personalized 3D-printed implants enable increasing minimally invasive approaches for complex deformities and reduce patient risks, promoting positive results. The advantages of 3D-printed technology will improve the safety and efficiency of spine surgery, as It permits surgeons to pre-plan surgery based on preoperative imaging, Insight Partners notes. Another advantage of 3D printed implants is they reduce the stress of the screw-bone interface, resulting in the minimum risk of implant failure and non-union. 
 
Key players in the spinal fusion devices market are Medtronic, Johnson & Johnson Services Inc., B.Braun SE, Stryker, ATEC Spine, Globus Medical, NuVasive, ZimVie Inc., Centinel Spine LLC, and Orthofix Medical. These companies adopt product innovation strategies to meet evolving customer demands, which allows them to maintain their brand name. Some recent developments in the global spinal fusion devices market include:
 

• Last summer, Globus Medical launched the MARVEL Growing Rod System, which is intended to help pediatric patients with early-onset scoliosis achieve and sustain correction while allowing for growth through minimally invasive distraction. MARVEL growth rods include a powerful geared mechanism that enables consistent, effective lengthening over a wide 40mm or 60mm expansion range, with PEEK polymer bearing surfaces to reduce wear. 
• In April 2023, ZimVie made two additions to its biomaterials portfolio—the RegenerOss CC Allograft Particulate (a natural blend of cortical and cancellous bone particles) and the RegenerOss Bone Graft Plug (an easy-to-use grafting solution for filling extraction sockets and periodontal defects).