European Markets for Spinal Implants and VCF 2011

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European Markets for Spinal Implants and VCF 2011
Published on January 2011

Report Summary

iData's comprehensive European Markets for Spinal Implants and VCF 2010 report is the industry leading research report for
actionable market intelligence in the changing and exciting European spine industry. This report denotes key data points, market
trends, and in-depth analysis for the following market segments:

- Cervical fusion,
- Thoracolumbar fusion,
- Interbody fusion (including stand-alone interbody devices),
- Vertebroplasty,
- Kyphoplasty,
- Artificial discs,
- Interspinous distraction devices,
- Dynamic stabilization,
- Annular repair,
- Nucleus replacement,
- Facet arthroplasty and lumbar and
- Cervical electrical stimulation devices.

This report also includes key data from the minimally invasive spinal (MIS) fusion market, including XLIF, AxiaLIF, GLIF, DLIF, MIS
PLIF and MIS TLIF approaches.

The report covers:

- Austria
- Benelux
- France
- Germany
- Portugal
- Scandinavia
- Spain
- Switzerland
- The United Kingdom

The European spinal implant markets are expected to exceed '1 billion by 2017,
driven by growth in non-fusion devices. Within the European spinal implant market, companies such as Depuy, Medtronic, Stryker,
Synthes and Zimmer lead the market, among others. This report provides a comprehensive and detailed analysis of market revenues
by device type, market forecasts through 2017, unit sales, average selling prices, market drivers and limiters and a detailed
competitive analysis, including manufacturer market shares and product portfolios.

The executive summary of this report is also available.

European Markets for Spinal Implants and VCF 2011 (From Slideshare) Page 1/17


Table of Content

TABLE OF CONTENTS

EXECUTIVE SUMMARY 1
1.1 TOTAL EUROPEAN SPINAL IMPLANT MARKETS .. 1
1.2 THORACOLUMBAR FIXATION MARKET 2
1.3 CERVICAL FIXATION MARKET.. 3
1.4 INTERBODY FUSION MARKET 4
1.5 DYNAMIC STABILIZATION MARKET.. 5
1.6 ARTIFICIAL DISC MARKET.. 6
1.7 SPINAL VERTEBRAL COMPRESSION FRACTURE MARKET .. 7
1.8 COMPETITIVE ANALYSIS . 8
RESEARCH METHODOLOGY.. 9
2.1 RESEARCH SCOPE 9
2.2 IDATA'S 9-STEP METHODOLOGY 9
Step 1: Project Initiation & Team Selection 10
Step 2: Prepare Data Systems and Perform Secondary Research 11
Step 3: Preparation for Interviews & Questionnaire Design . 12
Step 4: Performing Primary Research 13
Step 5: Research Analysis: Establishing Baseline Estimates . 15
Step 6: Market Forecast and Analysis 15
Step 7: Identify Strategic Opportunities 17
Step 8: Final Review and Market Release 18
Step 9: Customer Feedback and Market Monitoring.. 19
EUROPEAN SPINAL IMPLANT MARKETS . 20
3.1 INTRODUCTION .. 20
3.2 CURRENCY EXCHANGE RATE. 27
3.3 MARKET OVERVIEW 28
3.4 MARKET BY SEGMENT 31
3.5 TREND ANALYSIS BY SEGMENT 37
3.6 MARKET BY COUNTRY .. 41
3.7 MARKET DRIVERS & LIMITERS . 45
3.7.1 Market Drivers 45
3.7.2 Market Limiters.. 46
3.8 COMPETITIVE ANALYSIS .. 49
3.8.1 Leading Competitors 49
3.8.2 Market Concentration. 55
3.9 MERGERS AND ACQUISITIONS 56
THE HUMAN SPINE. 58
4.1 BASIC ANATOMY.. 58
4.2 SPINAL PATHOLOGY & DISORDERS. 61
4.2.1 Degenerative Disc Disease .. 61



4.2.2 Spinal Deformities 63
4.2.3 Trauma and Tumor .. 63
4.2.4 Vertebral Compression Fractures 64
4.3 SPINAL DISORDER TREATMENTS.. 65
4.3.1 Decompression 65
4.3.2 Discectomy 65
4.3.3 Spinal Fusion .. 66
4.3.4 Corpectomy.. 66
4.3.5 Spinal Arthroplasty .. 66
COUNTRY PROFILES 67
5.1.1 Population. 67
5.1.2 GDP per Capita . 67
5.1.3 FPM and NFPM Penetration Rates. 67
5.1.4 Price Index 68
5.2 GERMANY . 69
5.3 FRANCE.. 70
5.4 U.K. . 71
5.5 SPAIN .. 72
5.6 ITALY .. 73
5.7 BENELUX (BELGIUM, LUXEMBOURG, NETHERLANDS) . 74
5.8 SCANDINAVIA (DENMARK, FINLAND, NORWAY, SWEDEN) 75
5.9 SWITZERLAND. 76
5.10 AUSTRIA.. 77
5.11 PORTUGAL . 78
THORACOLUMBAR FIXATION MARKET.. 79
6.2 MARKET OVERVIEW 82
6.3 MARKET ANALYSIS AND FORECAST 89
6.3.1 Germany. 89
6.3.2 France. 94
6.3.3 U.K 99
6.3.4 Spain . 104
6.3.5 Italy 109
6.3.6 Benelux (Belgium, Netherlands, Luxembourg) 114
6.3.7 Scandinavia (Denmark, Finland, Norway, Sweden). 130
6.3.8 Switzerland. 142
6.3.9 Austria.. 147
6.3.10 Portugal 152
6.4 MARKET DRIVERS AND LIMITERS . 157
6.4.1 Market Drivers. 157
6.4.2 Market Limiters 158
CERVICAL FIXATION MARKET.. 161
7.1 INTRODUCTION 161
7.2 MARKET OVERVIEW. 164
7.3 MARKET ANALYSIS AND FORECAST. 171
7.3.1 Germany.. 171
7.3.2 France.. 176



7.3.3 U.K. 181
7.3.4 Spain . 186
7.3.5 Italy 191
7.3.6 Benelux (Belgium, Netherlands, Luxembourg) 196
7.3.7 Scandinavia (Denmark, Finland, Sweden, Norway). 210
7.3.9 Austria.. 224
7.3.10 Portugal 229
INTERBODY FUSION MARKET. 238
8.1.1 Material Type 240
8.1.2 Minimally Invasive Approaches.. 241
8.2 MARKET OVERVIEW. 245
8.3 MARKET ANALYSIS AND FORECAST. 252
8.3.1 Germany.. 252
8.3.2 France.. 257
8.3.3 U.K. 262
8.3.4 Spain . 267
8.3.5 Italy 272
8.3.6 Benelux. 277
8.3.7 Scandinavia 291
8.3.9 Austria.. 310
8.3.10 Portugal 315
EUROPEAN SPINAL FUSION MARKETS: COMPETITIVE ANALYSIS.. 325
9.2 COMPETITIVE ANALYSIS 326
9.2.1 Total European Markets . 326
9.2.2 Germany.. 332
9.2.3 France.. 332
9.2.4 U.K. 333
9.2.5 Spain . 333
9.2.6 Italy 334
9.2.7 Benelux. 334
9.2.8 Scandinavia 335
9.2.10 Austria 337
9.2.11 Portugal 337
DYNAMIC STABILIZATION MARKET. 338
10.1 INTRODUCTION . 338
10.2 MARKET OVERVIEW.. 339
10.3 MARKET ANALYSIS AND FORECAST.. 347



10.3.1 Posterior Dynamic Stabilization Market by Country 347
10.3.2 Interspinous Dynamic Stabilization Market by Country.. 354
10.4 MARKET DRIVERS AND LIMITERS .. 361
10.4.1 Market Drivers.. 361
10.4.2 Market Limiters. 362
ARTIFICIAL DISC MARKET. 369
11.3.1 Lumbar Artificial Disc Market by Country. 377
11.3.2 Cervical Artificial Disc Market by Country 385
SPINAL VCF MARKET .. 400
12.1.1 Percutaneous Vertebroplasty. 401
12.1.2 Percutaneous Vertebral Augmentation Including Kyphoplasty 402
12.1.3 Effects of New England Journal of Medicine Publication .. 403
12.3.1 PVA Market by Country 411
12.3.2 Vertebroplasty Market by Country . 419
12.5.1 Leading Companies and Products .. 431
12.5.2 Emerging Companies and Products .. 436
ABBREVIATIONS 438
APPENDIX: MINIMALLY INVASIVE FUSION 439

LIST OF FIGURES

Figure 3-1: Exchange Rate between Selected European Currencies and the Euro,
2010 .. 27
Figure 3-2: Total Spinal Implant Market, Europe, 2007 ' 2017 ('M) . 28
Figure 3-3: Total Spinal Implant Market, Europe, 2007 ' 2017 (US$M) .. 29
Figure 3-4: Total Spinal Implant Market by Segment, Europe, 2007 ' 2017
('M).. 32
Figure 3-5: Total Spinal Implant Market by Segment, Europe, 2007 ' 2017
(US$M) 33
Figure 3-6: Spinal Implant Market Growth Rates by Segment, Europe,
2007 ' 2017 39



Figure 3-7: Spinal Implant Market by Country, Europe, 2007 ' 2017 ('M) . 42
Figure 3-8: Spinal Implant Market by Country, Europe, 2007 ' 2017 (US$M) .. 43
Figure 3-9: Drivers and Limiters, Spinal Implant Market, Europe, 2010 .. 48
Figure 3-10: Leading Competitors, Spinal Implant Market, Europe, 2010 53
Figure 5-1: European Price Index for Fusion Devices by Country, 2010 .. 68
Figure 6-1: Total Thoracolumbar Fixation Procedures by Indication, Europe,
2007 ' 2017 83
Figure 6-2: Total Thoracolumbar Fixation ASPs by Indication, Europe,
2007 ' 2017 ('M) 84
Figure 6-3: Total Thoracolumbar Fixation ASPs by Indication, Europe,
2007 ' 2017 (US$M) . 84
Figure 6-4: Total Thoracolumbar Fixation Market by Indication, Europe,
2007 ' 2017 (') 85
Figure 6-5: Total Thoracolumbar Fixation Market by Indication, Europe,
2007 ' 2017 (US$).. 85
Figure 6-6: Thoracolumbar Fixation Procedures by Indication, Germany,
2007 ' 2017 90
Figure 6-7: Thoracolumbar Fixation ASP by Indication, Germany, 2007 ' 2017
(') .. 91
Figure 6-8: Thoracolumbar Fixation ASP by Indication, Germany, 2007 ' 2017
(US$) 91
Figure 6-9: Thoracolumbar Fixation Market by Indication, Germany,
2007 ' 2017 ('M) 92
Figure 6-10: Thoracolumbar Fixation Market by Indication, Germany,
2007 ' 2017 (US$M) . 92
Figure 6-11: Thoracolumbar Fixation Procedures by Indication, France,
2007 ' 2017 95
Figure 6-12: Thoracolumbar Fixation ASP by Indication, France, 2007 ' 2017
(') .. 96
Figure 6-13: Thoracolumbar Fixation ASP by Indication, France 2007 ' 2017
(US$) 96
Figure 6-14: Thoracolumbar Fixation Market by Indication, France, 2007 ' 2017
('M).. 97
Figure 6-15: Thoracolumbar Fixation Market by Indication, France, 2007 ' 2017
(US$M) 97
Figure 6-16: Thoracolumbar Fixation Procedures by Indication, U.K.,
2007 ' 2017. 100
Figure 6-17: Thoracolumbar Fixation ASP by Indication, U.K., 2007 ' 2017 (')101
Figure 6-18: Thoracolumbar Fixation ASP by Indication, U.K., 2007 ' 2017
(US$) . 101
Figure 6-19: Thoracolumbar Fixation Market by Indication, U.K., 2007 ' 2017
('M) 102
Figure 6-20: Thoracolumbar Fixation Market by Indication, U.K., 2007 ' 2017
(US$M) . 102
Figure 6-21: Thoracolumbar Fixation Procedures by Indication, Spain,
2007 ' 2017. 105
Figure 6-22: Thoracolumbar Fixation ASP by Indication, Spain, 2007 ' 2017
(') 106



Figure 6-23: Thoracolumbar Fixation ASP by Indication, Spain 2007 ' 2017
(US$) . 106
Figure 6-24: Thoracolumbar Fixation Market by Indication, Spain, 2007 ' 2017
('M) 107
Figure 6-25: Thoracolumbar Fixation Market by Indication, Spain, 2007 ' 2017
(US$M) . 107
Figure 6-26: Thoracolumbar Fixation Procedures by Indication, Italy,
2007 ' 2017. 110
Figure 6-27: Thoracolumbar Fixation ASP by Indication, Italy, 2007 ' 2017
(') 111
Figure 6-28: Thoracolumbar Fixation ASP by Indication, Italy, 2007 ' 2017
(US$) . 111
Figure 6-29: Thoracolumbar Fixation Market by Indication, Italy, 2007 ' 2017
('M) 112
Figure 6-30: Thoracolumbar Fixation Market by Indication, Italy, 2007 ' 2017
(US$M) . 112
Figure 6-31: Thoracolumbar Fixation Procedures by Indication, Benelux,
2007 ' 2017. 115
Figure 6-32: Total Thoracolumbar Fixation Procedures by Country, Benelux,
2007 ' 2017. 115
Figure 6-33: Thoracolumbar Fixation Market by Indication, Benelux,
2007 ' 2017 ('M) . 116
Figure 6-34: Thoracolumbar Fixation Market by Indication, Benelux,
2007 ' 2017 (US$M) .. 116
Figure 6-35: Total Thoracolumbar Fixation Market by Country, Benelux,
2007 ' 2017 ('M) . 117
Figure 6-36: Total Thoracolumbar Fixation Market by Country, Benelux,
2007 ' 2017 (US$M) .. 117
Figure 6-37: Thoracolumbar Fixation Procedures by Indication, Belgium,
2007 ' 2017. 121
Figure 6-38: Thoracolumbar Fixation ASP by Indication, Belgium, 2007 ' 2017
(') 122
Figure 6-39: Thoracolumbar Fixation ASP by Indication, Belgium, 2007 ' 2017
(US$) . 122
Figure 6-40: Thoracolumbar Fixation Market by Indication, Belgium,
2007 ' 2017 ('M) . 123
Figure 6-41: Thoracolumbar Fixation Market by Indication, Belgium,
2007 ' 2017 (US$M) .. 123
Figure 6-42: Thoracolumbar Fixation Procedures by Indication, Netherlands,
2007 ' 2017. 126
Figure 6-43: Thoracolumbar Fixation ASP by Indication, Netherlands,
2007 ' 2017 (') . 127
Figure 6-44: Thoracolumbar Fixation ASP by Indication, Netherlands,
2007 ' 2017 (US$) 127
Figure 6-45: Thoracolumbar Fixation Market by Indication, Netherlands,
2007 ' 2017 ('M) . 128
Figure 6-46: Thoracolumbar Fixation Market by Indication, Netherlands,
2007 ' 2017 (US$M) .. 128



Figure 6-47: Total Thoracolumbar Fixation Procedures by Country, Scandinavia,
2007 ' 2017. 131
Figure 6-48: Total Thoracolumbar Fixation Market by Country, Scandinavia,
2007 ' 2017 ('M) . 132
Figure 6-49: Total Thoracolumbar Fixation Market by Country, Scandinavia,
2007 ' 2017 (US$M) .. 132
Figure 6-50: Total Degenerative Thoracolumbar Fixation Procedures by Country,
Scandinavia, 2007 ' 2017 . 133
Figure 6-51: Total Deformity Thoracolumbar Fixation Procedures by Country,
Scandinavia, 2007 ' 2017 . 133
Figure 6-52: Total Trauma/Tumor Thoracolumbar Fixation Procedures by
Country, Scandinavia, 2007 ' 2017 .. 134
Figure 6-53: Total Degenerative Thoracolumbar Fixation ASP by Country,
Scandinavia, 2007 ' 2017 (') .. 135
Figure 6-54: Total Degenerative Thoracolumbar Fixation ASP by Country,
Scandinavia, 2007 ' 2017 (US$) 135
Figure 6-55: Total Deformity Thoracolumbar Fixation ASP by Country,
Scandinavia, 2007 ' 2017 (') .. 136
Figure 6-56: Total Deformity Thoracolumbar Fixation ASP by Country,
Scandinavia, 2007 ' 2017 (US$) 136
Figure 6-57: Total Trauma/Tumor Thoracolumbar Fixation ASP by Country,
Scandinavia, 2007 ' 2017 (') .. 137
Figure 6-58: Total Trauma/Tumor Thoracolumbar Fixation ASP by Country,
Scandinavia, 2007 ' 2017 (US$) 137
Figure 6-59: Total Degenerative Thoracolumbar Fixation Market by Country,
Scandinavia, 2007 ' 2017 ('M).. 138
Figure 6-60: Total Degenerative Thoracolumbar Fixation Market by Country,
Scandinavia, 2007 ' 2017 (US$M) 138
Figure 6-61: Total Deformity Thoracolumbar Fixation Market by Country,
Scandinavia, 2007 ' 2017 ('M).. 139
Figure 6-62: Total Deformity Thoracolumbar Fixation Market by Country,
Figure 6-63: Total Trauma/Tumor Thoracolumbar Fixation Market by Country,
Scandinavia, 2007 ' 2017 ('M).. 140
Figure 6-64: Total Trauma/Tumor Thoracolumbar Fixation Market by Country,
Figure 6-65: Thoracolumbar Fixation Procedures by Indication, Switzerland,
2007 ' 2017. 143
Figure 6-66: Thoracolumbar Fixation ASP by Indication, Switzerland,
2007 ' 2017 (') . 144
Figure 6-67: Thoracolumbar Fixation ASP by Indication, Switzerland,
2007 ' 2017 (US$) 144
Figure 6-68: Thoracolumbar Fixation Market by Indication, Switzerland,
2007 ' 2017 ('M) . 145
Figure 6-69: Thoracolumbar Fixation Market by Indication, Switzerland,
2007 ' 2017 (US$M) .. 145
Figure 6-70: Thoracolumbar Fixation Procedures by Indication, Austria,
2007 ' 2017. 148



Figure 6-71: Thoracolumbar Fixation ASP by Indication, Austria, 2007 ' 2017
(') 149
Figure 6-72: Thoracolumbar Fixation ASP by Indication, Austria, 2007 ' 2017
(US$) . 149
Figure 6-73: Thoracolumbar Fixation Market by Indication, Austria, 2007 ' 2017
('M) 150
Figure 6-74: Thoracolumbar Fixation Market by Indication, Austria, 2007 ' 2017
(US$M) . 150
Figure 6-75: Thoracolumbar Fixation Procedures by Indication, Portugal,
2007 ' 2017. 153
Figure 6-76: Thoracolumbar Fixation ASP by Indication, Portugal, 2007 ' 2017
(') 154
Figure 6-77: Thoracolumbar Fixation ASP by Indication, Portugal, 2007 ' 2017
(US$) . 154
Figure 6-78: Thoracolumbar Fixation Market by Indication, Portugal,
2007 ' 2017 ('M) . 155
Figure 6-79: Thoracolumbar Fixation Market by Indication, Portugal,
2007 ' 2017 (US$M) .. 155
Figure 6-80: Drivers and Limiters, Thoracolumbar Fixation Market, Europe,
2010 160
Figure 7-1: Total Cervical Fixation Procedures by Approach, Europe,
2007 ' 2017. 165
Figure 7-2: Total Cervical Fixation ASP by Approach, Europe, 2007 ' 2017
(') 166
Figure 7-3: Total Cervical Fixation ASP by Approach, Europe, 2007 ' 2017
(US$) . 166
Figure 7-4: Total Cervical Fixation Market by Approach, Europe, 2007 ' 2017
('M) 167
Figure 7-5: Total Cervical Fixation Market by Approach, Europe, 2007 ' 2017
(US$M) . 167
Figure 7-6: Cervical Fixation Procedures by Approach, Germany, 2007 ' 2017 172
Figure 7-7: Cervical Fixation ASP by Approach, Germany, 2007 ' 2017 (') 173
Figure 7-8: Cervical Fixation ASP by Approach, Germany, 2007 ' 2017
(US$) . 173
Figure 7-9: Cervical Fixation Market by Approach, Germany, 2007 ' 2017
('M) 174
Figure 7-10: Cervical Fixation Market by Approach, Germany, 2007 ' 2017
(US$M) . 174
Figure 7-11: Cervical Fixation Procedures by Approach, France, 2007 ' 2017 .. 177
Figure 7-12: Cervical Fixation ASP by Approach, France, 2007 ' 2017 (') . 178
Figure 7-13: Cervical Fixation ASP by Approach, France, 2007 ' 2017 (US$) 178
Figure 7-14: Cervical Fixation Market by Approach, France, 2007 ' 2017
('M) 179
Figure 7-15: Cervical Fixation Market by Approach, France, 2007 ' 2017
(US$M) . 179
Figure 7-16: Cervical Fixation Procedures by Approach, U.K., 2007 ' 2017 .. 182
Figure 7-17: Cervical Fixation ASP by Approach, U.K., 2007 ' 2017 (') . 183
Figure 7-18: Cervical Fixation ASP by Approach, U.K., 2007 ' 2017 (US$) 183



Figure 7-19: Cervical Fixation Market by Approach, U.K., 2007 ' 2017 ('M) .. 184
Figure 7-20: Cervical Fixation Market by Approach, U.K., 2007 ' 2017 (US$M)184
Figure 7-21: Cervical Fixation Procedures by Approach, Spain, 2007 ' 2017. 187
Figure 7-22: Cervical Fixation ASP by Approach, Spain, 2007 ' 2017 (') 188
Figure 7-23: Cervical Fixation ASP by Approach, Spain, 2007 ' 2017 (US$) . 188
Figure 7-24: Cervical Fixation Market by Approach, Spain, 2007 ' 2017 ('M) . 189
Figure 7-25: Cervical Fixation Market by Approach, Spain, 2007 ' 2017
(US$M) . 189
Figure 7-26: Cervical Fixation Procedures by Approach, Italy, 2007 ' 2017 .. 192
Figure 7-27: Cervical Fixation ASP by Approach, Italy, 2007 ' 2017 (').. 193
Figure 7-28: Cervical Fixation ASP by Approach, Italy, 2007 ' 2017 (US$) 193
Figure 7-29: Cervical Fixation Market by Approach, Italy, 2007 ' 2017 ('M) .. 194
Figure 7-30: Cervical Fixation Market by Approach, Italy, 2007 ' 2017
(US$M) . 194
Figure 7-31: Cervical Fixation Procedures by Approach, Benelux,
2007 ' 2017. 197
Figure 7-32: Cervical Fixation Procedures by Country, Benelux, 2007 ' 2017 .. 197
Figure 7-33: Cervical Fixation Market by Approach, Benelux, 2007 ' 2017
('M) 198
Figure 7-34: Cervical Fixation Market by Approach, Benelux, 2007 ' 2017
(US$M) . 198
Figure 7-35: Cervical Fixation Market by Country, Benelux, 2007 ' 2017
('M) 199
Figure 7-36: Cervical Fixation Market by Country, Benelux, 2007 ' 2017
(US$M) . 199
Figure 7-37: Cervical Fixation Procedures by Approach, Belgium,
2007 ' 2017. 202
Figure 7-38: Cervical Fixation ASP by Approach, Belgium, 2007 ' 2017 (') .. 203
Figure 7-39: Cervical Fixation ASP by Approach, Belgium, 2007 ' 2017
(US$) . 203
Figure 7-40: Cervical Fixation Market by Approach, Belgium, 2007 ' 2017
('M) 204
Figure 7-41: Cervical Fixation Market by Approach, Belgium, 2007 ' 2017
(US$) . 204
Figure 7-42: Cervical Fixation Procedures by Approach, Netherlands,
2007 ' 2017. 206
Figure 7-43: Cervical Fixation ASP by Approach, Netherlands, 2007 ' 2017
(') 207
Figure 7-44: Cervical Fixation ASP by Approach, Netherlands, 2007 ' 2017
(US$) . 207
Figure 7-45: Cervical Fixation Market by Approach, Netherlands, 2007 ' 2017
('M) 208
Figure 7-46: Cervical Fixation Market by Approach, Netherlands, 2007 ' 2017
(US$M) . 208
Figure 7-47: Total Cervical Fixation Procedures by Country, Scandinavia,
2007 ' 2017. 211
Figure 7-48: Total Cervical Fixation Market by Country, Scandinavia,
2007 ' 2017 ('M) . 212



Figure 7-49: Total Cervical Fixation Market by Country, Scandinavia,
2007 ' 2017 (US$M) .. 212
Figure 7-50: Anterior Cervical Fixation Procedures by Country, Scandinavia,
2007 ' 2017. 213
Figure 7-51: Posterior Cervical Fixation Procedures by Country, Scandinavia,
2007 ' 2017. 213
Figure 7-52: Anterior Cervical Fixation ASP by Country, Scandinavia,
2007 ' 2017 (') . 214
Figure 7-53: Anterior Cervical Fixation ASP by Country, Scandinavia,
2007 ' 2017 (US$) 214
Figure 7-54: Posterior Cervical Fixation ASP by Country, Scandinavia,
2007 ' 2017 (') . 215
Figure 7-55: Posterior Cervical Fixation ASP by Country, Scandinavia,
2007 ' 2017 (US$) 215
Figure 7-56: Anterior Cervical Fixation Market by Country, Scandinavia,
2007 ' 2017 ('M) . 216
Figure 7-57: Anterior Cervical Fixation Market by Country, Scandinavia,
2007 ' 2017 (US$M) .. 216
Figure 7-58: Posterior Cervical Fixation Market by Country, Scandinavia,
2007 ' 2017 ('M) . 217
Figure 7-59: Posterior Cervical Fixation Market by Country, Scandinavia,
2007 ' 2017 (US$M) .. 217
Figure 7-60: Cervical Fixation Procedures by Approach, Switzerland,
2007 ' 2017. 220
Figure 7-61: Cervical Fixation ASP by Approach, Switzerland, 2007 ' 2017
(') 221
Figure 7-62: Cervical Fixation ASP by Approach, Switzerland, 2007 ' 2017
(US$) . 221
Figure 7-63: Cervical Fixation Market by Approach, Switzerland, 2007 ' 2017
('M) 222
Figure 7-64: Cervical Fixation Market by Approach, Switzerland, 2007 ' 2017
(US$M) . 222
Figure 7-65: Cervical Fixation Procedures by Approach, Austria,
2007 ' 2017. 225
Figure 7-66: Cervical Fixation ASP by Approach, Austria, 2007 ' 2017 (') 226
Figure 7-67: Cervical Fixation ASP by Approach, Austria, 2007 ' 2017 (US$) .. 226
Figure 7-68: Cervical Fixation Market by Approach, Austria, 2007 ' 2017
('M) 227
Figure 7-69: Cervical Fixation Market by Approach, Austria, 2007 ' 2017
(US$M) . 227
Figure 7-70: Cervical Fixation Procedures by Approach, Portugal,
2007 ' 2017. 230
Figure 7-71: Cervical Fixation ASP by Approach, Portugal, 2007 ' 2017 (') .. 231
Figure 7-72: Cervical Fixation ASP by Approach, Portugal, 2007 ' 2017
(US$) . 231
Figure 7-73: Cervical Fixation Market by Approach, Portugal, 2007 ' 2017
('M) 232
Figure 7-74: Cervical Fixation Market by Approach, Portugal, 2007 ' 2017



(US$M) . 232
Figure 7-75: Drivers and Limiters, Cervical Fixation Device Market, Europe,
2010 237
Figure 8-1: Total Interbody Fusion Procedures by Approach, Europe,
2007 ' 2017 (') . 246
Figure 8-2: Total Interbody Fusion ASP by Approach, Europe, 2007 ' 2017
(') 247
Figure 8-3: Total Interbody Fusion ASP by Approach, Europe, 2007 ' 2017
(US$) . 247
Figure 8-4: Total Interbody Fusion Market by Approach, Europe, 2007 ' 2017
('M) 248
Figure 8-5: Total Interbody Fusion Market by Approach, Europe, 2007 ' 2017
(US$M) . 248
Figure 8-6: Interbody Procedures by Approach, Germany, 2007 ' 2017 . 253
Figure 8-7: Interbody ASP by Approach, Germany, 2007 ' 2017 (') .. 254
Figure 8-8: Interbody ASP by Approach, Germany, 2007 ' 2017 (US$) . 254
Figure 8-9: Interbody Market by Approach, Germany, 2007 ' 2017 ('M) . 255
Figure 8-10: Interbody Market by Approach, Germany, 2007 ' 2017 (US$M). 255
Figure 8-11: Interbody Procedures by Approach, France, 2007 ' 2017 258
Figure 8-12: Interbody ASP by Approach, France, 2007 ' 2017 (') . 259
Figure 8-13: Interbody ASP by Approach, France, 2007 ' 2017 (US$) .. 259
Figure 8-14: Interbody Market by Approach, France, 2007 ' 2017 ('M) 260
Figure 8-15: Interbody Market by Approach, France, 2007 ' 2017 (US$M) . 260
Figure 8-16: Interbody Procedures by Approach, U.K., 2007 ' 2017 263
Figure 8-17: Interbody ASP by Approach, U.K., 2007 ' 2017 (') . 264
Figure 8-18: Interbody ASP by Approach, U.K., 2007 ' 2017 (US$) .. 264
Figure 8-19: Interbody Market by Approach, U.K., 2007 ' 2017 ('M) 265
Figure 8-20: Interbody Market by Approach, U.K., 2007 ' 2017 (US$M) . 265
Figure 8-21: Interbody Procedures by Approach, Spain, 2007 ' 2017 . 268
Figure 8-22: Interbody ASP by Approach, Spain, 2007 ' 2017 (') 269
Figure 8-23: Interbody ASP by Approach, Spain, 2007 ' 2017 (US$) . 269
Figure 8-24: Interbody Market by Approach, Spain, 2007 ' 2017 ('M).. 270
Figure 8-25: Interbody Market by Approach, Spain, 2007 ' 2017 (US$M) 270
Figure 8-26: Interbody Procedures by Approach, Italy, 2007 ' 2017 273
Figure 8-27: Interbody ASP by Approach, Italy, 2007 ' 2017 (') . 274
Figure 8-28: Interbody ASP by Approach, Italy, 2007 ' 2017 (US$) 274
Figure 8-29: Interbody Market by Approach, Italy, 2007 ' 2017 ('M) 275
Figure 8-30: Interbody Market by Approach, Italy, 2007 ' 2017 (US$M) . 275
Figure 8-31: Interbody Fusion Procedures by Approach, Benelux,
2007 ' 2017. 278
Figure 8-32: Interbody Fusion Procedures by Country, Benelux, 2007 ' 2017. 278
Figure 8-33: Interbody Fusion Market by Approach, Benelux, 2007 ' 2017
('M) 279
Figure 8-34: Interbody Fusion Market by Approach, Benelux, 2007 ' 2017
(US$M) . 279
Figure 8-35: Interbody Fusion Market by Country, Benelux, 2007 ' 2017
('M) 280
Figure 8-36: Interbody Fusion Market by Country, Benelux, 2007 ' 2017



(US$M) . 280
Figure 8-37: Interbody Procedures by Approach, Belgium, 2007 ' 2017 283
Figure 8-38: Interbody ASP by Approach, Belgium, 2007 ' 2017 (').. 284
Figure 8-39: Interbody ASP by Approach, Belgium, 2007 ' 2017 (US$) 284
Figure 8-40: Interbody Market by Approach, Belgium, 2007 ' 2017 ('M) 285
Figure 8-41: Interbody Market by Approach, Belgium, 2007 ' 2017 (US$M).. 285
Figure 8-42: Interbody Procedures by Approach, Netherlands, 2007 ' 2017. 287
Figure 8-43: Interbody ASP by Approach, Netherlands, 2007 ' 2017 (') .. 288
Figure 8-44: Interbody ASP by Approach, Netherlands, 2007 ' 2017 (US$). 288
Figure 8-45: Interbody Market by Approach, Netherlands, 2007 ' 2017 ('M) . 289
Figure 8-46: Interbody Market by Approach, Netherlands, 2007 ' 2017
(US$M) . 289
Figure 8-47: Total Interbody Fusion Procedures by Country, Scandinavia,
2007 ' 2017. 292
Figure 8-48: Total Interbody Fusion Market by Country, Scandinavia,
2007 ' 2017 ('M) . 293
Figure 8-49: Total Interbody Fusion Market by Country, Scandinavia,
2007 ' 2017 (US$M) .. 293
Figure 8-50: ALIF Procedures by Country, Scandinavia, 2007 ' 2017 294
Figure 8-51: PLIF Procedures by Country, Scandinavia, 2007 ' 2017 . 294
Figure 8-52: TLIF Procedures by Country, Scandinavia, 2007 ' 2017. 295
Figure 8-53: Cervical Interbody Fusion Procedures by Country, Scandinavia,
2007 ' 2017. 295
Figure 8-54: ALIF ASP by Country, Scandinavia, 2007 ' 2017 (') .. 296
Figure 8-55: ALIF ASP by Country, Scandinavia, 2007 ' 2017 (US$) 296
Figure 8-56: PLIF ASP by Country, Scandinavia, 2007 ' 2017 (') .. 297
Figure 8-57: PLIF ASP by Country, Scandinavia, 2007 ' 2017 (US$). 297
Figure 8-58: TLIF ASP by Country, Scandinavia, 2007 ' 2017 (') .. 298
Figure 8-59: TLIF ASP by Country, Scandinavia, 2007 ' 2017 (US$). 298
Figure 8-60: Cervical Interbody Fusion ASP by Country, Scandinavia,
2007 ' 2017 (') . 299
Figure 8-61: Cervical Interbody Fusion ASP by Country, Scandinavia,
2007 ' 2017 (US$) 299
Figure 8-62: ALIF Market by Country, Scandinavia, 2007 ' 2017 ('M). 300
Figure 8-63: ALIF Market by Country, Scandinavia, 2007 ' 2017 (US$M) .. 300
Figure 8-64: PLIF Market by Country, Scandinavia, 2007 ' 2017 ('M) . 301
Figure 8-65: PLIF Market by Country, Scandinavia, 2007 ' 2017 (US$M) 301
Figure 8-66: TLIF Market by Country, Scandinavia, 2007 ' 2017 ('M) . 302
Figure 8-67: TLIF Market by Country, Scandinavia, 2007 ' 2017 (US$M) .. 302
Figure 8-68: Cervical Interbody Fusion Market by Country, Scandinavia,
2007 ' 2017 ('M) . 303
Figure 8-69: Cervical Interbody Fusion Market by Country, Scandinavia,
2007 ' 2017 (US$M) .. 303
Figure 8-70: Interbody Procedures by Approach, Switzerland, 2007 ' 2017 . 306
Figure 8-71: Interbody ASP by Approach, Switzerland, 2007 ' 2017 (') .. 307
Figure 8-72: Interbody ASP by Approach, Switzerland, 2007 ' 2017 (US$). 307
Figure 8-73: Interbody Market by Approach, Switzerland, 2007 ' 2017 ('M) . 308
Figure 8-74: Interbody Market by Approach, Switzerland, 2007 ' 2017



(US$M) . 308
Figure 8-75: Interbody Procedures by Approach, Austria, 2007 ' 2017.. 311
Figure 8-76: Interbody ASP by Approach, Austria, 2007 ' 2017 (') 312
Figure 8-77: Interbody ASP by Approach, Austria, 2007 ' 2017 (US$).. 312
Figure 8-78: Interbody Market by Approach, Austria, 2007 ' 2017 ('M) .. 313
Figure 8-79: Interbody Market by Approach, Austria, 2007 ' 2017 (US$M) 313
Figure 8-80: Interbody Procedures by Approach, Portugal, 2007 ' 2017 316
Figure 8-81: Interbody ASP by Approach, Portugal, 2007 ' 2017 (').. 317
Figure 8-82: Interbody ASP by Approach, Portugal, 2007 ' 2017 (US$) 317
Figure 8-83: Interbody Market by Approach, Portugal, 2007 ' 2017 ('M) 318
Figure 8-84: Interbody Market by Approach, Portugal, 2007 ' 2017 (US$M).. 318
Figure 8-85: Drivers and Limiters, Interbody Fusion Market, 2010.. 324
Figure 9-1: Leading Competitors, Spinal Fusion Market, Europe, 2010 . 330
Figure 9-2: Leading Competitors, Spinal Fusion Market, Benelux, 2010 335
Figure 9-3: Leading Competitors, Spinal Fusion Market, Scandinavia, 2010 336
Figure 10-1: Dynamic Stabilization Procedures by Type, Europe,
2007 ' 2017. 340
Figure 10-2: Dynamic Stabilization ASP by Type, Europe, 2007 ' 2017 (') 341
Figure 10-3 Dynamic Stabilization ASP by Type, Europe, 2007 ' 2017
(US$) . 341
Figure 10-4: Dynamic Stabilization Market by Type, Europe, 2007 ' 2017
('M) 342
Figure 10-5: Dynamic Stabilization Market by Type, Europe, 2007 ' 2017
(US$M) . 342
Figure 10-6: PDS Procedures by Country, Europe, 2007 ' 2017 348
Figure 10-7: PDS ASP by Country, Europe, 2007 ' 2017 (') .. 349
Figure 10-8: PDS ASP by Country, Europe, 2007 ' 2017 (US$) 350
Figure 10-9: PDS Market by Country, Europe, 2007 ' 2017 ('M). 351
Figure 10-10: PDS Market by Country, Europe, 2007 ' 2017 (US$M) 352
Figure 10-11: IDS Procedures by Country, Europe, 2007 ' 2017 .. 355
Figure 10-12: IDS ASP by Country, Europe, 2007 ' 2017 (') . 356
Figure 10-13: IDS ASP by Country, Europe, 2007 ' 2017 (US$) .. 357
Figure 10-14: IDS Market by Country, Europe, 2007 ' 2017 ('M) 358
Figure 10-15: IDS Market by Country, Europe, 2007 ' 2017 (US$M) . 359
Figure 10-16: Drivers and Limiters, Dynamic Stabilization Market, Europe,
2010 363
Figure 10-17: Leading Competitors, Dynamic Stabilization Market, Europe,
2010 367
Figure 11-1: Artificial Disc Procedures by Type, Europe, 2007 ' 2017 .. 371
Figure 11-2: Artificial Disc ASP by Type, Europe, 2007 ' 2017 (') 372
Figure 11-3: Artificial Disc ASP by Type, Europe, 2007 ' 2017 (US$).. 372
Figure 11-4: Artificial Disc Market by Type, Europe, 2007 ' 2017 ('M) .. 373
Figure 11-5: Artificial Disc Market by Type, Europe, 2007 ' 2017 (US$M) 373
Figure 11-6: LAD Procedures by Country, Europe, 2007 ' 2017 379
Figure 11-7: LAD ASP by Country, Europe, 2007 ' 2017 (') . 380
Figure 11-8: LAD ASP by Country, Europe, 2007 ' 2017 (US$) .. 381
Figure 11-9: LAD Market by Country, Europe, 2007 ' 2017 ('M) 382
Figure 11-10: LAD Market by Country, Europe, 2007 ' 2017 (US$M) .. 383



Figure 11-11: CAD Procedures by Country, Europe, 2007 ' 2017. 386
Figure 11-12: CAD ASP by Country, Europe, 2007 ' 2017 (') .. 387
Figure 11-13: CAD ASP by Country, Europe, 2007 ' 2017 (US$) 388
Figure 11-14: CAD Market by Country, Europe, 2007 ' 2017 ('M) . 389
Figure 11-15: CAD Market by Country, Europe, 2007 ' 2017 (US$M) .. 390
Figure 11-16: Drivers and Limiters, Artificial Disc Market, Europe, 2010 395
Figure 11-17: Leading Competitors, Artificial Disc Market, Europe, 2010 398
Figure 12-1: VCF Procedures by Type, Europe, 2007 ' 2017.. 405
Figure 12-2: VCF ASP by Type, Europe, 2007 ' 2017 (') 406
Figure 12-3: VCF ASP by Type, Europe, 2007 ' 2017 (US$) . 406
Figure 12-4: VCF Market by Type, Europe, 2007 ' 2017 ('M) .. 407
Figure 12-5: VCF Market by Type, Europe, 2007 ' 2017 (US$M) 407
Figure 12-6: PVA Procedures by Country, Europe, 2007 ' 2017.. 413
Figure 12-7: PVA ASP by Country, 2007 ' 2017 (') .. 414
Figure 12-8: PVA ASP by Country, Europe, 2007 ' 2017 (US$) 415
Figure 12-9: PVA Market by Country, Europe, 2007 ' 2017 ('M) 416
Figure 12-10: PVA Market by Country, Europe, 2007 ' 2017 (US$M) 417
Figure 12-11: Vertebroplasty Procedures by Country, Europe, 2007 ' 2017 420
Figure 12-12: Vertebroplasty ASP by Country, 2007 ' 2017 (') 421
Figure 12-13: Vertebroplasty ASP by Country, Europe, 2007 ' 2017 (US$). 422
Figure 12-14: Vertebroplasty Market by Country, Europe, 2007 ' 2017
('M) 423
Figure 12-15: Vertebroplasty Market by Country, Europe, 2007 ' 2017
(US$M) . 424
Figure 12-16: Drivers and Limiters, VCF Market, Europe, 2010 430
Figure 12-17: Leading Competitors, VCF Market, Europe, 2010 .. 434
Figure 14-1: Total MIS Spinal Implant Market, Europe, 2007 ' 2017 ('M).. 442
Figure 14-2: Total MIS Spinal Implant Market, Europe, 2007 ' 2017 (US$M) 443

LIST OF CHARTS

Chart 1-1: Total Spinal Implant Market, Europe, 2007 ' 2017 ('M) . 1
Chart 1-2: Thoracolumbar Fixation Market by Indication, Europe, 2007 ' 2017.. 2
Chart 1-3: Cervical Fixation Market by Approach, Europe, 2007 ' 2017 ('M) . 3
Chart 1-4: Interbody Fusion Procedures, Europe, 2007 ' 2017. 4
Chart 1-5: Dynamic Stabilization Market by Type, Europe, 2017 .. 5
Chart 1-6: Artificial Disc Market, Europe, 2007 ' 2017 ('M).. 6
Chart 1-7: VCF Procedures by Type, Europe, 2007 ' 2017 7
Chart 1-8: L


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