TABLE OF CONTENTS.I
LIST OF FIGURES.VI
LIST OF CHARTS XII
EXECUTIVE SUMMARY. 1
1.1 ASIA-PACIFIC MARKETS FOR SPINAL IMPLANTS AND VCF. 1
1.2 SPINAL FUSION MARKET 2
1.3 NON-FUSION SPINAL IMPLANT MARKET 3
1.4 VCFMARKET . 4
1.5 AUSTRALIAN SPINAL IMPLANT MARKET TRENDS . 5
1.6 JAPANESE SPINAL IMPLANT MARKET TRENDS. 6
1.7 SOUTH KOREAN SPINAL IMPLANT MARKET TRENDS. 6
1.8 COMPETITIVE ANALYSIS 7
RESEARCH METHODOLOGY. 8
2.1 RESEARCH SCOPE . 8
2.2 IDATA'S 9-STEP METHODOLOGY . 8
2.2.1 Step 1: Project Initiation & Team Selection 9
2.2.2 Step 2: Prepare Data Systems and Perform Secondary Research. 10
2.2.3 Step 3: Preparation for Interviews & Questionnaire Design 11
2.2.4 Step 4: Performing Primary Research. 12
2.2.5 Step 5: Research Analysis: Establishing Baseline Estimates 14
2.2.6 Step 6: Market Forecast and Analysis . 14
2.2.7 Step 7: Identify Strategic Opportunities 16
2.2.8 Step 8: Final Review and Market Release . 17
2.2.9 Step 9: Customer Feedback and Market Monitoring. 18
THE HUMAN SPINE . 19
3.1 BASIC ANATOMY 19
3.2 SPINAL PATHOLOGY & DISORDERS 21
3.2.1 Degenerative Disc Disease . 21
3.2.1.1 Disc Herniation .21
3.2.1.2 Stenosis 22
3.2.1.3 Spondylolisthesis22
3.2.1.4 Arthritis22
3.2.2 Spinal Deformities 23
3.2.2.1 Scoliosis .23
3.2.2.2 Kyphosis and Lordosis.23
3.2.3 Trauma and Tumor . 23
3.2.4 Vertebral Compression Fractures 24
3.2.4.1 Osteoporosis 24
3.2.4.2 Vertebral Compression Fractures .24
3.3 SPINAL DISORDER TREATMENTS 25
3.3.1 Decompression 25
3.3.1.1 Microdecompression25
3.3.1.2 Laminectomy25
3.3.2 Discectomy 25
3.3.3 Spinal Fusion 26
3.3.4 Corpectomy. 26
3.3.5 Spinal Arthroplasty . 26
ASIA-PACIFIC MARKETS FOR SPINAL IMPLANT 27
4.1 INTRODUCTION . 27
4.1.1.1 Spinal Fusion.28
4.1.1.2 Traditional Interbody Fusion 28
4.1.1.3 ALIF.29
4.1.1.4 PLIF.29
4.1.1.5 TLIF .29
4.1.1.6 CIF.29
4.1.1.7 Minimally Invasive Interbody Fusion 29
4.1.1.8 Minimally Invasive TLIF .30
4.1.1.9 Minimally Invasive PLIF .31
4.1.1.10 Lateral Lumbar Interbody Fusion .31
4.1.1.11 Artificial Discs .32
4.1.1.12 Dynamic Stabilization32
4.1.1.13 Posterior Dynamic Stabilization33
4.1.1.14 Interspinous Process Decompression33
4.1.1.15 Vertebral Compression Fracture.33
4.2 CURRENCY EXCHANGE RATES . 34
4.3MARKET OVERVIEW. 35
4.3.1 Market by Segment 35
4.3.2 Market by Country 42
4.4MARKET DRIVERS AND LIMITERS 45
4.4.1 Market Drivers 45
4.4.2 Market Limiters. 46
4.5 COMPETITIVE ANALYSIS 48
4.6MERGERS AND ACQUISITIONS 53
COUNTRY PROFILES 54
5.1 INTRODUCTION . 54
5.1.1 Population. 54
5.1.2 GDP per Capita 54
5.1.3 FPM and NFPM Penetration Rates 54
5.1.4 Price Index 55
5.2 AUSTRALIA . 56
5.3 JAPAN 57
5.4 SOUTH KOREA 58
AUSTRALIAN SPINAL IMPLANT MARKET 59
6.1 INTRODUCTION . 59
6.2MARKET OVERVIEW. 60
6.3MARKET ANALYSIS AND FORECAST 67
6.3.1 Thoracolumbar Fixation Market 67
6.3.2 Cervical Fixation Market 74
6.3.3 Interbody Fusion Market 79
6.3.4 Artificial Disc Market . 86
6.3.5 Dynamic Stabilization Market 91
6.3.6 VCF Market 96
6.4MARKET DRIVERS AND LIMITERS 101
6.4.1 Market Drivers 101
6.4.2 Market Limiters. 102
6.3 COMPETITIVE ANALYSIS 103
6.4.3 Total Spinal Implant Market. 103
6.4.4 Fusion Market. 105
6.4.5 Artificial Disc Market . 108
6.4.6 Dynamic Stabilization Market 109
6.4.7 VCF Market 110
JAPANESE SPINAL IMPLANT MARKET 113
7.1 INTRODUCTION . 113
7.2MARKET OVERVIEW. 114
7.3MARKET ANALYSIS AND FORECAST 120
7.3.1 Thoracolumbar Fixation Market 120
7.3.2 Cervical Fixation Market 127
7.3.3 Interbody Fusion Market 132
7.3.4 Cervical Artificial Disc Market 139
7.3.5 Dynamic Stabilization Market 142
7.3.6 VCF Market 143
7.4MARKET DRIVERS AND LIMITERS 147
7.4.1 Market Drivers 147
7.4.2 Market Limiters. 148
7.5 COMPETITIVE ANALYSIS 149
7.5.1 Total Spinal Implant Market. 149
SOUTH KOREAN SPINAL IMPLANT MARKET 153
8.1 INTRODUCTION . 153
8.2MARKET OVERVIEW. 153
8.3MARKET ANALYSIS AND FORECAST 160
8.3.1 Thoracolumbar Fixation Market 160
8.3.2 Cervical Fixation Market 167
8.3.3 Interbody Fusion Market 172
8.3.4 Artificial Disc Market . 179
8.3.5 Dynamic Stabilization Market 184
8.3.6 VCF Market 189
8.4MARKET DRIVERS AND LIMITERS 194
8.4.1 Market Drivers 194
8.4.2 Market Limiters. 195
8.3 COMPETITIVE ANALYSIS 196
8.4.3 Total Spinal Implant Market. 196
8.4.4 Fusion Market. 198
8.4.5 Artificial Disc Market . 201
8.4.6 Dynamic Stabilization Market 202
8.4.7 VCF Market 203
ABBREVIATIONS 207
LIST OF FIGURES
EXECUTIVE SUMMARY 1
RESEARCH METHODOLOGY 8
THE HUMAN SPINE. 19
ASIA-PACIFIC MARKETS FOR SPINAL IMPLANT 27
Figure 4-1 - Exchange Rates for the U.S. Dollar, 2010 . 34
Figure 4-2: Spinal Implant Market by Segment, Asia-Pacific, 2007 - 2017 (US$M) . 37
Figure 4-3: Growth Rates by Segment, Spinal Implant Market, Asia-Pacific, 2007 - 2017. 38
Figure 4-4: Spinal Implant Market by Country, Asia-Pacific, 2007 - 2017 (US$M) . 44
Figure 4-5: Growth Rates by Segment, Spinal Implant Market, Asia-Pacific, 2007 - 2017. 44
Figure 4-6: Drivers and Limiters, Spinal Implant Market, Asia-Pacific, 2010 47
Figure 4-7: Leading Competitors, Spinal Implant Market, Asia-Pacific, 2010 51
COUNTRY PROFILES 54
Figure 5-1: Price Index for Fusion Devices by Country, Asia-Pacific, 2010 . 55
AUSTRALIAN SPINAL IMPLANT MARKET . 59
Figure 6-1: Spinal Implant Market by Segment, Australia, 2007 - 2017 (US$M) . 62
Figure 6-2: Spinal Implant Market by Segment, Australia, 2007 - 2017 (AUS$M) 63
Figure 6-3: Procedure Numbers by Indication, Thoracolumbar Fixation Market, Australia, 2007 - 2017. 68
Figure 6-4: Thoracolumbar Fixation ASP by Indication, Australia, 2007 - 2017 (US$) 69
Figure 6-5: Thoracolumbar Fixation ASP by Indication, Australia, 2007 - 2017 (AUS$) 70
Figure 6-6: Thoracolumbar Fixation Market by Indication, Australia, 2007 - 2017 (US$M) . 71
Figure 6-7: Thoracolumbar Fixation Market by Indication, Australia, 2007 - 2017 (AUS$M) . 72
Figure 6-8: Procedure Numbers by Approach, Cervical Fixation Market, Australia, 2007 - 2017. 75
Figure 6-9: Cervical Fixation ASP by Approach, Australia, 2007 - 2017 (US$) . 76
Figure 6-10: Cervical Fixation ASP by Approach, Australia, 2007 - 2017 (AUS$) 76
Figure 6-11: Cervical Fixation Market by Approach, Australia, 2007 - 2017 (US$M) . 77
Figure 6-12: Cervical Fixation Market by Approach, Australia, 2007 - 2017 (AUS$M) 77
Figure 6-13: Procedure Numbers by Approach, Interbody Fusion Market, Australia, 2007 - 2017. 80
Figure 6-14: Interbody Fusion ASP by Approach, Australia, 2007 - 2017 (US$) 81
Figure 6-15: Interbody Fusion ASP by Approach, Australia, 2007 - 2017 (AUS$) 82
Figure 6-16: Interbody Fusion Market by Approach, Australia, 2007 - 2017 (US$M) . 83
Figure 6-17: Interbody Fusion Market by Approach, Australia, 2007 - 2017 (AUS$M) 84
Figure 6-18: Units Sold by Type, Artificial Disc Market, Australia, 2007 - 2017. 87
Figure 6-19: Artificial Disc ASP by Segment, Australia, 2007 - 2017 (US$) . 88
Figure 6-20: Artificial Disc ASP by Segment, Australia, 2007 - 2017 (AUS$). 88
Figure 6-21: Artificial Disc Market by Segment, Australia, 2007 - 2017 (US$M) . 89
Figure 6-22: Artificial Disc Market by Segment, Australia, 2007 - 2017 (AUS$M) 89
Figure 6-23: Units Sold by Type, Dynamic Stabilization Market, Australia, 2007 - 2017. 92
Figure 6-24: Dynamic Stabilization ASP by Segment, Australia, 2007 - 2017 (US$) 93
Figure 6-25: Dynamic Stabilization ASP by Segment, Australia, 2007 - 2017 (AUS$) 93
Figure 6-26: Dynamic Stabilization Market by Segment, Australia, 2007 - 2017 (US$M) . 94
Figure 6-27: Dynamic Stabilization Market by Segment, Australia, 2007 - 2017 (AUS$M) 94
Figure 6-28: Procedure Numbers by Type, VCF Market, Australia, 2007 - 2017. 97
Figure 6-29: VCF ASP by Type, Australia 2007 - 2017 (US$) 98
Figure 6-30: VCF ASP by Type, Australia 2007 - 2017 (AUS$) 98
Figure 6-31: VCF Market by Type, Australia, 2007 - 2017(US$M) . 99
Figure 6-32: VCF Market by Type, Australia, 2007 - 2017 (AUS$M) 99
Figure 6-33: Drivers and Limiters, Spinal Implant Market, Australia, 2010 . 103
Figure 6-34: Leading Competitors, Spinal Implant Market, Australia, 2010 . 111
JAPANESE SPINAL IMPLANT MARKET. 113
Figure 7-1: Spinal Implant Market by Segment, Japan, 2007 - 2017 (US$M). 115
Figure 7-2: Spinal Implant Market by Segment, Japan, 2007 - 2017 (JP¥M) 116
Figure 7-3: Procedure Numbers by Indication, Thoracolumbar Fixation Market,
Japan, 2007 - 2017 121
Figure 7-4: Thoracolumbar Fixation ASP by Indication, Japan, 2007 - 2017 (US$) 122
Figure 7-5: Thoracolumbar Fixation ASP by Indication, Japan, 2007 - 2017 (JP¥) . 123
Figure 7-6: Thoracolumbar Fixation Market by Indication, Japan, 2007 - 2017 (US$M) . 124
Figure 7-7: Thoracolumbar Fixation Market by Indication, Japan, 2007 - 2017 (JP¥M) 125
Figure 7-8: Procedure Numbers by Approach, Cervical Fixation Market, Japan, 2007 - 2017. 128
Figure 7-9: Cervical Fixation ASP by Approach, Japan, 2007 - 2017 (US$) 129
Figure 7-10: Cervical Fixation ASP by Approach, Japan, 2007 - 2017 (JP¥) . 129
Figure 7-11: Cervical Fixation Market by Approach, Japan, 2007 - 2017 (US$M) . 130
Figure 7-12: Cervical Fixation Market by Approach, Japan, 2007 - 2017 (JP¥M) 130
Figure 7-13: Procedure Numbers by Approach, Interbody Fusion Market, Japan, 2007 - 2017. 133
Figure 7-14: Interbody Fusion ASP by Approach, Japan, 2007 - 2017 (US$) . 134
Figure 7-15: Interbody Fusion ASP by Approach, Japan, 2007 - 2017 (JP¥) 135
Figure 7-16: Interbody Fusion Market by Approach, Japan, 2007 - 2017 (US$M) . 136
Figure 7-17: Interbody Fusion Market by Approach, Japan, 2007 - 2017 (JP¥M) 137
Figure 7-18: Cervical Artificial Disc Market, Japan, 2007 - 2017 (US$M) 140
Figure 7-19: Cervical Artificial Disc Market, Japan, 2007 - 2017 (JP¥M) . 140
Figure 7-20: Procedure Numbers by Type, VCF Market, Japan, 2007 - 2017 . 143
Figure 7-21: VCF ASP by Type, Japan, 2007 - 2017 (US$). 144
Figure 7-22: VCF ASP by Type, Japan, 2007 - 2017 (JP¥) 144
Figure 7-23: VCF Market by Type, Japan, 2007 - 2017 (US$M) . 145
Figure 7-24: VCF Market by Type, Japan, 2007 - 2017 (JP¥M). 145
Figure 7-25: Drivers and Limiters, Spinal Implant Market, Japan, 2010. 148
Figure 7-26: Leading Competitors, Spinal Implant Market, Japan, 2010 151
SOUTH KOREAN SPINAL IMPLANT MARKET 153
Figure 8-1: Spinal Implant Market by Segment, South Korea, 2007 - 2017 (US$M) . 155
Figure 8-2: Spinal Implant Market by Segment, South Korea, 2007 - 2017 (₩M) 156
Figure 8-3: Procedure Numbers by Indication, Thoracolumbar Fixation Market, South Korea, 2007 - 2017 161
Figure 8-4: Thoracolumbar Fixation ASP by Indication, South Korea, 2007 - 2017 (US$). 162
Figure 8-5: Thoracolumbar Fixation ASP by Indication, South Korea, 2007 - 2017 (₩M). 163
Figure 8-6: Thoracolumbar Fixation Market by Indication, South Korea, 2007 - 2017 (US$M) . 164
Figure 8-7: Thoracolumbar Fixation Market by Indication, South Korea, 2007 - 2017 (₩B) . 165
Figure 8-8: Procedure Numbers by Approach, Cervical Fixation Market, South Korea, 2007 - 2017 168
Figure 8-9: Cervical Fixation ASP by Approach, South Korea, 2007 - 2017 (US$) 169
Figure 8-10: Cervical Fixation ASP by Approach, South Korea, 2007 - 2017 (₩M) 169
Figure 8-11: Cervical Fixation Market by Approach, South Korea, 2007 - 2017 (US$M) . 170
Figure 8-12: Cervical Fixation Market by Approach, South Korea, 2007 - 2017 (₩B) . 170
Figure 8-13: Procedure Numbers by Approach, Interbody Fusion Market, South Korea, 2007 - 2017 173
Figure 8-14: Interbody Fusion ASP by Approach, South Korea, 2007 - 2017 (US$) 174
Figure 8-15: Interbody Fusion ASP by Approach, South Korea, 2007 - 2017 (₩M) 175
Figure 8-16: Interbody Fusion Market by Approach, South Korea, 2007 - 2017 (US$M) . 176
Figure 8-17: Interbody Fusion Market by Approach, South Korea, 2007 - 2017 (₩B) . 177
Figure 8-18: Units Sold by Type, Artificial Disc Market, South Korea, 2007 - 2017. 180
Figure 8-19: Artificial Disc ASP by Segment, South Korea, 2007 - 2017 (US$) 181
Figure 8-20: Artificial Disc ASP by Segment, South Korea, 2007 - 2017 (₩M) 181
Figure 8-21: Artificial Disc Market by Segment, South Korea, 2007 - 2017 (US$M) . 182
Figure 8-22: Artificial Disc Market by Segment, South Korea, 2007 - 2017 (₩B) . 182
Figure 8-23: Units Sold by Type, Dynamic Stabilization Market, South Korea, 2007 - 2017. 185
Figure 8-24: Dynamic Stabilization ASP by Segment, South Korea, 2007 - 2017 (US$) 186
Figure 8-25: Dynamic Stabilization ASP by Segment, South Korea 2007 - 2017 (₩M) 186
Figure 8-26: Dynamic Stabilization Market by Segment, South Korea, 2007 - 2017 (US$M) . 187
Figure 8-27: Dynamic Stabilization Market by Segment, South Korea, 2007 - 2017 (₩B) . 187
Figure 8-28: Procedure Numbers by Type, VCF Market, South Korea, 2007 - 2017. 190
Figure 8-29: VCF ASP by Type, South Korea 2007 - 2017 (US$) . 191
Figure 8-30: VCF ASP by Type, South Korea 2007 - 2017 (₩M) 191
Figure 8-31: VCF Market by Type, South Korea, 2007 - 2017(US$M) 192
Figure 8-32: VCF Market by Type, South Korea, 2007 - 2017 (₩B) . 192
Figure 8-33: Drivers and Limiters, Spinal Implant Market, South Korea, 2010 196
Figure 8-34: Leading Competitors, Spinal Implant Market, South Korea, 2010 205
ABBREVIATIONS 207
LIST OF CHARTS
EXECUTIVE SUMMARY 1
Chart 1-1: Spinal Implant Market, Asia-Pacific, 2007 - 2017 (US$M). 1
Chart 1-2: Thoracolumbar Fixation ASP, South Korea, 2007 - 2017 (US$M) 2
Chart 1-3: Growth Rates by Type, Dynamic Stabilization Market, Australia, 2007 - 2017. 3
Chart 1-4: VCF Procedures by Type, Australia, 2007 - 2017 . 4
Chart 1-5: Leading Competitors, Spinal Implant Market, Asia-Pacific, 2010. 7
RESEARCH METHODOLOGY 8
THE HUMAN SPINE. 19
ASIA-PACIFIC MARKETS FOR SPINAL IMPLANT 27
Chart 4-1: Spinal Implant Market by Segment, Asia-Pacific, 2007 - 2017 (US$M) . 39
Chart 4-2: Spinal Implant Market by Segment, Asia-Pacific, 2010. 40
Chart 4-3: Spinal Implant Market by Segment, Asia-Pacific, 2017. 41
Chart 4-4: Leading Competitors, Spinal Implant Market, Asia-Pacific, 2010 52
COUNTRY PROFILES 54
Chart 5-1: Country Profile, Australia, 2010. 56
Chart 5-2: Country Profile, Japan, 2010 57
Chart 5-3: Country Profile, South Korea, 2010 58
AUSTRALIAN SPINAL IMPLANT MARKET . 59
Chart 6-1: Spinal Implant Market by Segment, Australia, 2007 - 2017 (US$M) . 64
Chart 6-2: Spinal Implant Market by Segment, Australia, 2010 . 65
Chart 6-3: Spinal Implant Market by Segment, Australia, 2017 . 66
Chart 6-4: Thoracolumbar Fixation Market, Australia, 2007 - 2017 (US$M) . 73
Chart 6-5: Cervical Fixation Market, 2007 - 2017 (US$M) . 78
Chart 6-6: Interbody Fusion Market, Australia, 2007 - 2017 (US$M) 85
Chart 6-7: Artificial Disc Market, Australia, 2007 - 2017 (US$M) 90
Chart 6-8: Dynamic Stabilization Market, Australia, 2007 - 2017 (US$M) 95
Chart 6-9: VCF Market, Australia, 2007 - 2017 (US$M). 100
Chart 6-10: Leading Competitors, Spinal Implant Market, Australia, 2010. 112
JAPANESE SPINAL IMPLANT MARKET. 113
Chart 7-1: Spinal Implant Market by Segment, Japan, 2007 - 2017 (US$M) 117
Chart 7-2: Spinal Implant Market by Segment, Japan, 2010. 118
Chart 7-3: Spinal Implant Market by Segment, Japan, 2017. 119
Chart 7-4: Thoracolumbar Fixation Market, Japan, 2007 - 2017 (US$M). 126
Chart 7-5: Cervical Fixation Market, 2007 - 2017 (US$M) . 131
Chart 7-6: Interbody Fusion Market, Japan, 2007 - 2017 (US$M) . 138
Chart 7-7: Artificial Disc Market, Japan, 2007 - 2017 (US$M) . 141
Chart 7-8: VCF Market, Japan, 2007 - 2017 (US$M) 146
Chart 7-9: Leading Competitors, Spinal Implant Market, Japan, 2010 152
SOUTH KOREAN SPINAL IMPLANT MARKET 153
Chart 8-1: Spinal Implant Market by Segment, South Korea, 2007 - 2017 (US$M) . 157
Chart 8-2: Spinal Implant Market by Segment, South Korea, 2010 158
Chart 8-3: Spinal Implant Market by Segment, South Korea, 2017 159
Chart 8-4: Thoracolumbar Fixation Market, South Korea, 2007 - 2017 (US$M) 166
Chart 8-5: Cervical Fixation Market, 2007 - 2017 (US$M) . 171
Chart 8-6: Interbody Fusion Market, South Korea, 2007 - 2017 (US$M) . 178
Chart 8-7: Artificial Disc Market, South Korea, 2007 - 2017 (US$M) . 183
Chart 8-8: Dynamic Stabilization Market, South Korea, 2007 - 2017 (US$M) . 188
Chart 8-9: VCF Market, South Korea, 2007 - 2017 (US$M) 193
Chart 8-10: Leading Competitors, Spinal Implant Market, South Korea, 2010 206
ABBREVIATIONS 207