Pedicle Screw System Market Snapshot (2022 to 2029)

The global Pedicle Screw System Market was valued at USD 4.46 Billion in 2021 and is expected to reach USD 6.46 Billion by 2029, expanding at a CAGR of 4.6% during the forecast period, finds Future Market Insights (FMI) in a recent market survey.

Data Points Market Insights
Market Value 2021 USD 4.46 Billion
Market Value 2022 USD 4.71 Billion
Market Value 2029 USD 6.46 Billion
CAGR 2022 to 2029 4.6%
Share of Top 5 Countries 73.7%
Key Players The key players in Pedicle Screw System Market are Medtronic plc; Aesculap Implant Systems LLC; Alphatec Holdings Inc.; DePuy Synthes Inc.; Evolution Spine LLC; Exactech Inc.; Globus Medical Inc.; Implanet SA; Life Spine Inc.; NuVasive Inc.; Orthofix Inc.; Qualgenix LLC; RTI Surgical Inc.; Solco Biomedical Co Ltd.; Stryker Corp; Synthes Inc.

Over the years, many developed countries including the United States of America are experiencing an unprecedented shift toward an aging population. By 2050, the global population of individuals aged 60 and up will triple in size due to increased life expectancy. Adult degenerative scoliosis becomes more common as people grow older, affecting 68 percent of the elderly population.

With the recent surgical advancements and a better understanding of the etiology of medical conditions, there has been a paradigm change in treating eligible elderly patients with surgery rather than potential therapies.

Degenerative diseases of the lumbar spine are frequently encountered in the older adult population and sometimes require surgical interventions using pedicle screw fixation. Surgical management of degenerative scoliosis involves decompression of the neural elements and fusion to realign the involved spinal segments using pedicle screw systems.

Therefore, with the continual increase in the aging population, spine surgeons will continue to be challenged to deliver adequate care to the elderly population and this is anticipated to increase the market growth of pedicle screw systems globally during the forecast period.

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How The Market Progressed Till June 2022?

Particulars Details
H1, 2021 4.88%
H1, 2022 Projected 4.61%
H1, 2022 Outlook 4.51%
BPS Change - H1, 2022 (O) - H1, 2022 (P) (-) 10 ↓
BPS Change - H1, 2022 (O) - H1, 2021 (-) 37 ↓

The pedicle screw system market is subject to influence by a rise in patient base and technological developments in accordance with the impact of macro and industry factors.

As per the comparative analysis by Future Market Insights for market growth rate in H1, a decreased value of 37 Basis Point Share (BPS) is expected in H1-2022 (O) as compared with H1-2021. Intraoperative complications such as a cerebrospinal fluid leak, screw misplacement, nerve root impingement, and pedicle fracture are among the causes that contribute to a decrease in BPS.

The incorporation of navigation systems for the insertion of pedicle screw systems is a key development in the market space. The comparative analysis and market growth rate of the global pedicle screw system market as studied by Future Market Insights will show a negative BPS growth in the H1-2022 outlook as compared to H1-2022 projected period by 10 BPS.

Limitations of navigation systems, which relate to bending of instruments, unintentionally touching or hitting reference frames, prolonged learning curve, casual blocking of the surgical field with a camera, calibration inaccuracies, and a non-rigid association between reference base and real surgical site, are some additional factors restraining market growth.

Pedicle Screw Systems Market

2014 to 2021 Market Demand Outlook for Pedicle Screw System Market compared to 2022 to 2029 Forecast

Sales of the pedicle screw system market grew at a CAGR of 4.4% between 2014 and 2021. The global market of pedicle screw systems accounts for approx. 10.4% of the overall orthopedic implant market which accounts for around USD 43.1 Billion in 2021.

The development of minimally invasive techniques that replace traditional open spine surgeries has decreased the incidence of complications. Image-guided surgeries are one of these procedures, which have been shown to improve patient outcomes when compared to free-hand techniques that depend solely on physical landmarks and surgeons’ expertise.

Due to the risky anatomical area in which screws are inserted in, close to the spinal cord, spinal roots, and systemic and neuro-vasculature, well-placed pedicle screws are necessary. Image-guided pedicle screw placement reduces the overall time of spinal procedures by allowing for better vision of the pedicle's trajectory.

The shifting treatment trend from conventional surgery to minimally invasive surgery is attributed to advantages provided by minimally invasive surgery such as reduced damage during and after surgical procedures, faster recovery, long-term better function, and shorter hospital stays. All this has led to more dynamic market growth.

The pedicle screw system market is expected to grow in the future, as the healthcare profession continues to evolve as a result of the need to discover newer technologies to effectively diagnose any issue regarding back pain.

Short-segment surgical treatments based on the use of pedicle screws for the treatment of neoplastic, developmental, congenital, traumatic, and degenerative conditions have been proven to be practical, safe, and effective. This has led to an increased usage of these systems, which is anticipated to increase the demand for pedicle screw systems.

Considering this, FMI expects the global pedicle screw system market to grow at a CAGR of 4.6% through 2029.

Sabyasachi Ghosh
Sabyasachi Ghosh

Principal Consultant

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Which Factors Are Restraining the Demand for Pedicle Screw System?

Since the last two decades, the price of instrumentation has followed an exponential increase in pedicle systems from the simple Harrington rods and 2 hooks to the placement of 20 or more pedicle screws to achieve correction. Surgeons sometimes have a difficult time determining the exact cost of the implants.

The cost of products differs from one country to another. Surprisingly, the same screw from the same company might be offered for a vastly different price depending on the location, often up to a threefold rise in pricing can be seen.

The placement of pedicle screws within the thoracic spine has been established. However, with a systematic literature review, it has been reported that 11 % of the patient population had a pedicle crew malposition and approximately 15 % of screws were malposition when a CT scan was used for evaluation.

These screw systems are also known for their lower biomechanical strength than that classical screws. Cannulated pedicle screws have been shown to have a lesser ability to resist stress than classical pedicle screws.

Other complications include loosening, disassembly, bending, and/or breakage of components, fracture, microfracture, desorption, damage, or penetration of any spinal bone. Such instances will create obstacles in the market growth of pedicle screw systems.

Country-wise Insights

What Makes the USA a Large Market for Pedicle Screw Systems?

In 2021, the USA dominated the North American market, with more than 91.9% of the market share owing to the growing geriatric population in this region, as well as increased usage of pedicle screw systems in the treatment of degenerative spinal disorders.

All these factors are driving the growth of the pedicle screw systems market in this region. Furthermore, the presence of key market players and advancement in technologies related to pedicle screw systems, as well as the availability of improved spinal fusion techniques and innovative implants in the region, are expected to fuel regional growth.

Why is Germany Considered a Lucrative Market for Pedicle Screw Systems?

Germany dominated the European market for pedicle screw systems and accounted for approx. 34.2% of market share in 2021 owing to the rising prevalence of lumbar degenerative disc and degenerative spinal disorders, the growing demand for minimally invasive surgery, and increased funding from the government for product development in the region.

Furthermore, increased awareness of and affordability of the high-cost product is expected to add to the region's exceptional share, boosting market revenue throughout the projected period.

What are the Factors Fueling the Demand for Pedicle Screw System Market in China?

The market for pedicle screw systems in China is projected to grow at a 9.6% CAGR in East Asia throughout the forecast period.

China accounts for the largest market share in the East Asia market owing to the enhanced expenditures by large enterprises, the growing number of government programs to develop robust infrastructure, the increasing geriatric population, and the demand for pedicle screw systems in the treatment procedures of spinal disorders, and numerous technological developments in pedicle screw system.

Another key factor driving the China pedicle screw systems market is the growing number of hospitals and the surge in the use of key therapeutic spine fusion procedures for treatment in the region.

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Category-wise Insights

Why there is Increasing adoption of Thoraco-lumbar pedicle screw systems?

By product, the thoraco-lumbar pedicle screw systems held the maximum share of 85.3% in 2021. Increasing adoption of thoraco-lumbar pedicle screw systems in performing spinal fusion techniques is contributing to the growth of the pedicle screw system market.

Additionally, thoraco-lumbar pedicle screw systems have several benefits over traditional hook and rod constructs as they provide the stability essential for spinal arthrodesis and enhanced deformity correction due to their three-column control over the spinal components.

Why Titanium Alloys contributed to the Highest Market Share by Material

In terms of material, titanium alloys accounted for more than 68% of the market share in 2021. In spinal fusion surgeries, titanium alloy pedicle screw systems allow for rapid implantation and increased pullout strength.

Because of the spontaneous production of an oxide layer on the metal surface, titanium alloy pedicle screws reduce head splaying, increasing biomechanical performance. Titanium alloy pedicle screw systems have a low tendency to ionize in aqueous conditions, making them appropriate for reconstructive bones.

Which Segment Accounts for the Highest Market Share By Application?

In terms of application, the fracture segment accounted for more than 38% of the market share in 2021 and is expected to grow at a CAGR of 4.1% in the forecast period owing to the growing prevalence of accidents and fracture cases.

Why do two-level Pedicle Screw Systems account for the highest share by Level of Surgery?

A two-level pedicle screw system is a very popular surgical remedy for degenerative disc disease and is designed with curve cuts on the rods to provide flexibility.

The improved outcomes of spinal fusion and increasingly widespread acceptance of two-level pedicle screw systems have led this segment to account for the highest revenue share of around 34.3% by the level of surgery in 2021.

Which End User will be Most Preferred?

By end-user, hospitals held nearly 55.2% of the market value share in 2021 and this trend is expected to continue during the forecast period as well. Hospitals will continue to be the key end-user of pedicle screw systems, owing to an increase in the number of people admitted to hospitals due to road accidents and degenerative disc problems.

Competitive Landscape

The major players in the pedicle screw systems market include Medtronic plc, Aesculap Implant Systems LLC, Alphatec Holdings Inc., DePuy Synthes Inc., Evolution Spine LLC, Exactech Inc., Globus Medical Inc., Implanet SA, Life Spine Inc., NuVasive Inc., Orthofix Inc., Qualgenix LLC, RTI Surgical Inc., Solco Biomedical Co Ltd., Stryker Corp, Synthes Inc.

The Companies in the pedicle screw system market are focusing on product launches, regulatory approvals, and company expansions as the key strategies. 

For Instance

  • In September 2021, Intelivation Technologies, a medical device company with a cutting-edge spinal implant product portfolio announced that they have achieved FDA 510(k) Clearance for the Golden Isles Pedicle Screw System™.
  • In June 2021, Neo Medical has received USA Food and Drug Administration (FDA) 510(k) clearance for the use of its pedicle screw system in late-stage tumor indications, in combination with BonOs Inject cement from OSARTIS.
  • In Sept 2019, Stryker announced a definitive agreement to acquire Mobius Imaging & Cardan Robotics.

Scope of the Report

Attribute Details
Forecast Period 2022 to 2029
Historical Data Available for 2014 to 2021
Market Analysis USD Million for Value
Key Regions Covered North America; Latin America; Europe; South Asia; East Asia; Oceania; and Middle East & Africa
Key Countries Covered USA, Canada, Brazil, Mexico, Argentina, Germany, United Kingdom, France, Italy, Spain, Benelux, Russia, China, Japan, South Korea, India, Thailand, Indonesia, Malaysia, Thailand, Indonesia, Australia and New Zealand, Egypt, Turkey, South Africa, North Africa, and GCC Countries
Key Segments Covered Product, Material, Application, Level of Surgery, End User, and Region
Key Companies Profiled Medtronic plc; Aesculap Implant Systems LLC; Alphatec Holdings Inc.; DePuy Synthes Inc.; Evolution Spine LLC; Exactech Inc.; Globus Medical Inc.; Implanet SA; Life Spine Inc.; NuVasive Inc.; Orthofix Inc.; Qualgenix LLC; RTI Surgical Inc.; Solco Biomedical Co Ltd; Stryker Corp; Synthes Inc.
Report Coverage Market Forecast, Competition Intelligence, Drivers, Restraints, Opportunities and Threats Analysis, Market Dynamics and Challenges, Strategic Growth Initiatives
Customization & Pricing Available upon Request

Pedicle Screw System Market by Category

By Product:

  • Cervical Pedicle Screw Systems
  • Thoraco-Lumbar Pedicle Screw Systems

By Material:

  • Stainless Steel
  • Titanium Alloys
  • Unalloyed Titanium

By Application:

  • Spondylolisthesis
  • Fracture
  • Scoliosis
  • Spinal tumor
  • Failed fusion
  • Others

By Level of Surgery:

  • One-level Pedicle Screw Systems
  • Two-level Pedicle Screw Systems
  • Three-level Pedicle Screw Systems
  • Four-level and higher Pedicle Screw Systems

By End-User:

  • Hospitals
  • Ambulatory Surgery Centers
  • Specialized Clinics

By Region:

  • North America
  • Latin America
  • Europe
  • East Asia
  • South Asia
  • Oceania
  • Middle East and Africa (MEA)

Frequently Asked Questions

How much is the pedicle screw system market currently worth?

The global pedicle screw system market is worth USD 4.46 Billion in 2021 and is set to expand 1.4X over the forecast period.

What is the sales forecast for pedicle screw system market through 2029?

The pedicle screw system market is expected to reach USD 6.46 Billion by the end of 2029, with sales revenue expected to grow at a 4.6%CAGR.

What was last 8 year market CAGR?

From 2014 to 2021, the market for pedicle screw system market expanded at the rate of 4.4% CAGR.

Which is the most lucrative market for pedicle screw system?

North America held a 51.6% share in the global market of pedicle screw systems in 2021.

How likely is the Pedicle Screw System Market to grow in India?

The pedicle screw system market in India is likely to grow at a CAGR of 6.6% during the forecast period, with a market share of around 50.2% in 2021 in the South Asian market for pedicle screw systems.

At what percentage pedicle screw system market is expected to register growth in Europe?

The demand for pedicle screw systems is expected to register a growth rate of 3.9% during the forecast period in the European market.

At what percentage is the pedicle screw system market expected to register growth in East Asia.

The demand for pedicle screw systems is expected to register a growth rate of around 8.4% CAGR during the forecast period in the East Asia market.

What are the key market statistics in Japan?

Japan’s market in pedicle screw systems is offering lucrative growth opportunities and is expected to exhibit healthy growth of 8.0% CAGR during the forecast period.

What are the top 5 countries driving demand for pedicle screw system?

The USA, Germany, China, Canada, and Japan are the top 5 countries that are driving the demand for pedicle screw systems.

Which are the leading companies in Pedicle Screw System Market?

Leading companies in the pedicle screw system market are Medtronic plc, Aesculap Implant Systems LLC, Alphatec Holdings Inc., DePuy Synthes Inc., Evolution Spine LLC, Exactech Inc., Globus Medical Inc., Implanet SA, Life Spine Inc., NuVasive Inc, Orthofix Inc., Qualgenix LLC, RTI Surgical Inc., Solco Biomedical Co Ltd., Stryker Corp, and Synthes Inc.

Table of Content
	1. Executive Summary
	2. Market Overview
	3. Key Market Trends
	4. Key Success Factors
	5. Key Inclusion
	6. Market Background
	7. Global Market Volume (Units) Analysis 2014 to 2021 and Forecast, 2022 to 2029
	8. Global Market - Pricing Analysis
	9. Global Market Value (USD Million) Analysis 2014 to 2021 and Forecast, 2022 to 2029
	10. Global Market Analysis 2014 to 2021 and Forecast 2022 to 2029, by Product Type
		10.1. Cervical Pedicle Screw Systems
		10.2. Thoraco-Lumbar Pedicle Screw Systems
	11. Global Market Analysis 2014 to 2021 and Forecast 2022 to 2029, by Material
		11.1. Stainless Steel
		11.2. Titanium Alloys
		11.3. Unalloyed Titanium
	12. Global Market Analysis 2014 to 2021 and Forecast 2022 to 2029, by Application
		12.1. Spondylolisthesis
		12.2. Fracture
		12.3. Scoliosis
		12.4. Spinal Tumor
		12.5. Failed Fusion
		12.6. Others
	13. Global Market Analysis 2014 to 2021 and Forecast 2022 to 2029, by Level of Surgery
		13.1. One-Level Pedicle Screw Systems
		13.2. Two-Level Pedicle Screw Systems
		13.3. Three-Level Pedicle Screw Systems
	14. Global Market Analysis 2014 to 2021 and Forecast 2022 to 2029, by End User
		14.1. Hospitals
		14.2. Ambulatory Surgery Centres
		14.3. Specialised Clinics
	15. Global Market Analysis 2014 to 2021 and Forecast 2022 to 2029, by Region
		15.1. North America
		15.2. Latin America
		15.3. Europe
		15.4. East Asia
		15.5. South Asia
		15.6. Oceania
		15.7. Middle East and Africa (MEA)
	16. North America Market Analysis 2014 to 2021 and Forecast 2022 to 2029
	17. Latin America Market Analysis 2014 to 2021 and Forecast 2022 to 2029
	18. Europe Market Analysis 2014 to 2021 and Forecast 2022 to 2029
	19. South Asia Market Analysis 2014 to 2021 and Forecast 2022 to 2029
	20. East Asia Market Analysis 2014 to 2021 and Forecast 2022 to 2029
	21. Oceania Market Analysis 2014 to 2021 and Forecast 2022 to 2029
	22. Middle East and Africa Market Analysis 2014 to 2021 and Forecast 2022 to 2029
	23. Emerging Countries Market Analysis 2014 to 2021 and Forecast 2022 to 2029
	24. Market Structure Analysis
	25. Competition Analysis
		25.1. Medtronic plc
		25.2. Aesculap Implant Systems LLC
		25.3. Alphatec Holdings Inc
		25.4. DePuy Synthes Inc
		25.5. Evolution Spine LLC
		25.6. Exactech Inc
		25.7. Globus Medical Inc
		25.8. Implanet SA
		25.9. Life Spine Inc
		25.10. NuVasive Inc
		25.11. Orthofix Inc
		25.12. Qualgenix LLC
		25.13. RTI Surgical Inc
		25.14. Solco Biomedical Co Ltd
		25.15. Stryker Corp
		25.16. Synthes Inc
	26. Assumptions and Acronyms Used
	27. Research Methodology
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