US Pedicle Screw Market to Grow at a CAGR of 6.79% to reach US$ 610.85 million from 2022 to 2030
分析师观点
美国椎弓根螺钉市场分析解释了市场驱动因素,例如人口老龄化对脊柱疾病的易感性以及使用椎弓根螺钉进行的脊柱手术数量不断增加椎弓根螺钉系统。此外,市场参与者之间的产品发布、扩展、协作和伙伴关系以及在螺钉放置过程中使用机器人进行导航预计将在 2022 年至 2030 年期间引入市场新趋势。从产品类型来看,多轴椎弓根螺钉系统细分市场在2022年占据最大份额。从应用来看,胸腰椎骨折细分市场占据最大份额,占据市场主导地位。按手术类型细分,开放手术细分市场可能在预测期内占据美国椎弓根螺钉市场的相当大份额。根据最终用户,医院细分市场预计将在 2022 年至 2030 年期间占据美国椎弓根螺钉市场的最大份额。
椎弓根螺钉是螺纹钛或不锈钢植入物,通过位于椎弓根处的椎弓根进行紧固。脊椎骨的背面。椎弓根螺钉有助于在脊柱融合手术期间将杆和/或板固定到脊柱节段。螺钉充当锚点,通常定位在由短杆连接的 2 或 3 个连续脊柱节段上。
市场洞察
老年人群对脊柱疾病的易感性
老年人群更容易患脊柱疾病诸如退行性椎间盘疾病、骨关节炎、脊柱侧凸、脊柱肿瘤和椎管狭窄等疾病。与衰老相关的脊柱自然磨损会导致多种脊柱疾病。此外,由于多种虚弱、合并症、营养状况下降以及术后并发症的可能性较高,这一人群给脊柱外科医生带来了独特的挑战。根据世界卫生组织(WHO)2022年10月发布的数据,到2050年,约80%的老年人口将生活在低收入和中等收入国家。此外,预计人口老龄化速度将加快比过去报告的速度快得多。椎弓根螺钉广泛用于矫正椎体骨折、椎体畸形、脊柱创伤、脊柱肿瘤等的外科手术中。因此,由于老年人口的增加(容易患各种脊柱疾病),椎弓根螺钉系统受到越来越多的关注。下图描绘了70岁以下(A组)和70岁及以上(B组)两组老年人口的累积发病率(%)。 A组后路融合术后椎体骨折病例高于B组。椎弓根螺钉在矫正椎体骨折、椎体畸形、脊柱创伤、脊柱肿瘤等手术过程中广泛使用。根据美国人口普查局2023年报告过去几十年来,美国老年人口迅速增长。 2010年至2020年,65岁及以上人口增长幅度为1880年至1890年以来最大、最快;到 2020 年,这一人口数量将达到 5580 万,占总人口的 16.8%。这种激增主要归因于 1946 年至 1964 年间出生的婴儿潮一代的老龄化。
图 1:有椎骨骨折风险的患者数量
资料来源:Nakahashi 等人。 BMC 肌肉骨骼疾病,2019
椎弓根螺钉固定术后椎体骨折是老龄化人群中相对常见的并发症。椎体骨折和脊柱疾病的手术治疗通常需要椎弓根螺钉固定。例如,脊柱侧弯的手术治疗包括中性元件减压和融合以重新调整脊柱节段椎弓根螺钉系统。
未来趋势
在螺钉放置过程中使用机器人进行导航
近年来,椎弓根螺钉市场见证了机器人导航的出现,特别是在微创脊柱手术 (MISS) 中,由于机器人技术有助于手术过程中的螺钉轨迹规划、尺寸和实时可视化,因此提高了椎弓根螺钉放置的准确性。在与腰椎椎间融合相关的手术中,机器人技术的应用已经超出了椎弓根螺钉的置入范围。根据 2020 年《骨与关节外科杂志》上发表的一篇文章,机器人设备有助于为解剖结构困难的患者放置椎弓根螺钉,从而提高手术的准确性、可行性和效率。美国 FDA 已批准使用机器人技术来分析椎弓根螺钉置入的理想轨迹。这些机器人设备作为半主动手术辅助工具,使外科医生能够扩大治疗患者的能力。
2022年,北京天威医疗技术有限公司推出了TiRobot,这是一种骨科机器人,作为一项新技术开发,用于辅助微创、经皮椎弓根治疗。螺钉放置。该技术准确且安全,有可能减少术中失血量、缩短手术时间、提高固定精度,并降低老龄化人群的手术风险。 2021年5月,医疗机器人专业公司CUREXO Corp.获得美国FDA许可开发 CUVIS-Spine 脊柱手术机器人。它是新一代脊柱手术机器人,通过高精度机械臂引导椎弓根螺钉的插入并根据手术计划发挥作用,基于实时OTS传感器的无线单步导航,赋予精确、安全、更快的操作。 CUVIS-Spine 还可最大限度地减少拍摄,减少患者和医务人员的辐射暴露。 2022 年 5 月,脊柱矫正手术中使用的医疗设备开发和创新先驱 Altus Spine 宣布获得摩纳哥 FDA 510 (K) 许可HA 椎弓根螺钉系统。该系统包括薄型结构和插入装置,具有旨在增强固定的优化表面。该表面由钙和磷制成,可增强椎弓根螺钉与周围骨骼的固定。
报告细分和范围
基于产品类型的见解
基于产品类型,美国椎弓根螺钉市场分为多轴椎弓根螺钉系统、单轴椎弓根螺钉系统和其他椎弓根螺钉系统。多轴椎弓根螺钉系统细分市场在 2022 年占据最大的市场份额,预计 2022 年至 2030 年期间将实现显着的复合年增长率。多轴椎弓根螺钉系统用于脊柱手术,旨在稳定和固定脊柱。螺钉固定在椎弓根上,椎弓根是椎体上的小骨突出物。这种类型的螺钉可以在多个方向上移动,使外科医生在椎弓根放置过程中具有更大的灵活性。近年来,微创手术已成为使用后路椎弓根螺钉固定的脊柱手术的首选方法。
提供多轴椎弓根螺钉系统的公司
公司
多轴椎弓根螺钉系统
Auxien Medical
VERTAUX – 带帽多轴椎弓根螺钉
Stryker
Xia3
B。 Braun
S4 脊柱系统(单轴和多轴)
Zimmer Biomet
重要脊柱固定系统
来源:公司网站和 Insight Partners 分析
脊柱手术数量不断增加,技术进步多轴椎弓根螺钉系统加上微创手术数量的增加预计将促进该产品类型市场的增长。
基于应用的见解
根据应用,全球美国椎弓根螺钉市场分为胸腰椎骨折、脊柱肿瘤、脊柱融合失败、脊柱侧凸和脊柱炎。胸腰椎骨折细分市场在 2022 年占据最大市场份额,预计 2022 年至 2030 年复合年增长率最高。胸腰椎骨折可显着影响生活质量,导致神经功能缺损、畸形和疼痛。据2020年《骨科杂志》发表的文章显示,脊柱骨折占每人口32.8/10万,其中胸腰椎骨折约占脊柱骨折的90%。此外,这些骨折中近20%是由于轴压引起的爆裂骨折。胸腰椎骨折大多发生在T11和L2之间,是应力集中区。
椎弓根螺钉多用于矫正胸腰椎爆裂性骨折,被认为是后路手术脊柱内固定的金标准。常用的椎弓根螺钉系统包括4个钉子和2个杆。已经使用椎弓根螺钉进行了大量的生化研究。尽管椎弓根螺钉固定已被证明在矫正脊柱骨折方面具有优势,但对于骨质疏松症患者来说,螺钉松动的缺点仍然存在,导致矫正手术失败。
基于手术类型的见解
就手术类型而言,美国椎弓根螺钉市场分为开放手术和微创手术。开放手术细分市场将在 2022 年占据更大的市场份额,预计微创手术细分市场在 2022 年至 2030 年期间将实现更高的复合年增长率。
由于先进技术的应用不断增加,微创手术 (MIS) 受到了关注。机器人和图像引导 (IG) 手术。在预测期内,MIS 市场的增长速度预计是开放手术市场的六倍。这些手术对周围肌肉的损伤较小,出血较少,疼痛最小,恢复较快,住院时间较短。目前,MIS 被认为是脊柱融合的常见手术。
美国椎弓根螺钉市场的主要参与者正致力于扩大其支持微创手术的产品类型组合。 2021年9月,Alphatec Holdings, Inc.推出了InVictus OsseoScrew脊柱固定系统,这是一种可扩张的椎弓根螺钉系统。因此,随着外科医生和患者对 MIS 的日益偏好,以及脊髓退行性疾病的迅速流行,美国椎弓根螺钉市场将在预测期内加快步伐。
基于最终用户的见解
通过对于最终用户,市场分为医院、门诊手术中心和专科诊所。医院细分市场在 2022 年占据最大的市场份额,预计 2022 年至 2030 年美国椎弓根螺钉市场复合年增长率最高。
美国椎弓根螺钉市场,按产品类型 – 2022 年和 2030 年
国家分析
美国椎弓根螺钉在美国的增长归因于人口老龄化史无前例地转向容易患脊柱疾病的人口以及使用椎弓根螺钉系统的脊柱手术数量不断增加。然而,与椎弓根螺钉固定相关的监管障碍和挑战阻碍了市场的增长。
在美国椎弓根螺钉运营的主要市场参与者包括 DePuy Synthes、Stryker 和 Intelivation Technologies。这些公司致力于产品类型的开发和推出,以保持市场竞争力。在美国,技术先进的椎弓根螺钉被广泛应用于各种微创和开放手术。
以下是椎弓根螺钉生态系统中各公司所取得的主要进展:
2023 年 5 月,Intelivation Technologies 推出了新型微创椎弓根螺钉系统。 Golden Isles 是一种经皮系统,可提高外科医生的手术灵活性和可视化,从而最大限度地减少患者的软组织损伤。 2022 年 3 月,专门从事脊柱和骨科技术的美国私营公司 SurGenTec 获得美国 FDA 批准其独立的脊柱固定植入物——ION Screw。2022 年 2 月,OsteoCentric Spine, LLC 宣布计划在与 Altus Spine 达成自有品牌协议后进入椎弓根螺钉固定市场。该安排允许 OsteoCentric 将现有的 FDA 批准的系统与其 UnifiMI 机械集成技术平台集成。 2020 年 10 月,Stryker 宣布其 Mesa 椎弓根螺钉(于 2006 年推出)在全球的植入数量达到 100 万颗。该系统在2020年北美脊柱学会(NASS)年会上得到专题报道。美国人口中腰椎骨折、脊柱畸形和脊柱肿瘤病例数量的增加以及椎弓根螺钉技术的进步有利于椎弓根螺钉市场。腰椎骨折是最常见的脊柱骨折,损伤复杂,致残率高,会给患者带来严重的心理和经济压力。
该报告介绍了全球美国椎弓根螺钉市场的领先企业。其中包括 DePuy Synthes Inc、Zimmer Biomet Holdings Inc、Globus Medical Inc、B. Braun SE、Stryker Corp、Medtronic Plc、Surgalign Holdings Inc、NuVasive Inc、Orthofix Medical Inc 和 Alphatec Holdings Inc。
2022 年 8 月,Surgalign Holdings, Inc. 的 CorteraTM 脊柱固定系统获得 FDA 510(k) 批准。 Surgalign 的这款新旗舰产品是基础产品组合的关键部分,旨在推动公司未来 10 年的未来增长。 2021 年 9 月,Alphatec Holdings, Inc. 成为一家致力于彻底改变脊柱手术方法的创新解决方案提供商,推出 InVictus OsseoScrew 可扩展脊柱固定系统。公司简介
DePuy Synthes Inc Zimmer Biomet Holdings Inc Globus Medical Inc B. Braun SE Stryker Corp Medtronic Plc Surgalign Holdings Inc NuVasive Inc Orthofix Medical IncAlphatec Holdings Inc
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Revenue forecast, Company Analysis, Industry landscape, Growth factors, and Trends
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Frequently Asked Questions
The key factor that is driving the pedicle screws market growth include increased adoption of these devices in treating degenerative spinal disorders, and the rising number of life-saving surgeries.
Pedicle screws are used sometimes in a spinal fusion to add extra support and strength to the fusion while it heals. Pedicle screws are placed above and below the vertebrae that were fused. A rod is used to connect the screws which prevents movement and allows the bone graft to heal. After the fusion is completely healed, the screws and rods can be removed. Removal isn't necessary unless they cause the patient discomfort.
The pedicle screws market, by product type, is fragmented into polyaxial pedicle screw system, monoaxial pedicle screw system, and other pedicle screw systems. The polyaxial pedicle screw system segment held the largest market share in 2022 and services segment is anticipated to register the highest CAGR during the forecast period.
The US pedicle screws market, by end user, is fragmented into hospitals, ambulatory surgical centers, and specialty clinics. The hospitals segment held the largest market share in 2022 and ambulatory surgical center anticipated to register the highest CAGR during the forecast period.
US pedicle screws market comprises top players such as Johnson & Johnson (Depuy Synthes), Zimmer Biomet, Globus Medical, Inc., B. Braun Melsungen AG, Orthofix International N.V., Stryker, Medtronic PLC, RTI Surgical, Inc and NuVasive.
The List of Companies - US Pedicle Screw Market
- DePuy Synthes Inc
- Zimmer Biomet Holdings Inc
- Globus Medical Inc
- Hill-Rom Holdings Inc
- Stryker Corp
- B. Braun SE
- Medtronic Plc
- Surgalign Holdings Inc.
- NuVasive Inc
- Orthofix Medical Inc
- Alphatec Holdings Inc
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