According to Transparency Market Research (TMR) the Interspinous Spacers Market was valued at US$ 63.0 Mn in 2017 and expected to reach US$ 102.3 Mn by 2026, expanding at a CAGR of 5.6% from 2018 to 2026.
Which are the main market Drivers?
- Rise in Demand for Minimally Invasive Surgeries and Awareness about Spine Disorder Treatments to Propel Market
- Favorable Reimbursement Scenario Drives Demand for Interspinous Spacers
- Increase in Geriatric Population Drives Demand
Which are the main Market Players?
- Globus Medical (22%): They are the market leaders with their Interspinous devices portfolio that includes: AERIAL and SP-FIX (in US) and with the addional RENEGADE, SP-FLEX (International).
- Zimmer Biomet (21%): This second position comes from products that came through acquisitions: Wallis System (Abbott Spine), ASPEN (Lanx) and InterBRIDGE®(LDR) and also their more recent developments: ALPINE and UniLink.
- Paradigm Spine (14%) (Recently acquired by RTI Surgical): Their Coflex device has been in the International market since 2001. It was launched by a company called Fixano that was acquired in 2005 by Paradigm Spine.
- Medtronic (13%): This market share comes mainly from the DIAM device and from the X-StopPK® device. Also, Medtronic sells the Aperius MIS implant and the CD Horizon Spire Spinal System.
- Life Spine (13%): Their Aileron system is quite popular. Recently they launched the Aileron TRX Expandable Device.
- Vertiflex (10%): Their market share comes from their Superion® implant. Recently, the company was acquired by Boston Scientific.
- Nuvasive (7%): The responsible of this result is their Affix II Mini device.
- Aurora Spine (?):This Company is focused on State-of-the-Art Interspinous devices and since it was founded, it has increased their market share.
- SpineFrontier (?): Their Inspan system has been used successfully since 2012. Unfortunately we do not have accurate data.
How many Devices compete in this market?
There are at least 70 different Interspinous devices. Please to know more about these devices visit: https://thespinemarketgroup.com/category/interspinous/
Today, we have selected 10 Interspinous Devices that have been launched recently and probably are not as known as their deserve according to their features and benefits that they provide.
10 Interspinous Devices to Know:
1.-AERIAL™ | Globus Medical
AERIAL™ Interspinous Fixation is an expandable minimally invasive spinous process fixation system. With its expandable core and independent locking plates, AERIAL™ offers a customized patient fit and allows for indirect decompression. Easy insertion and expansion provides a simple MIS solution for interspinous fixation.
- Expandable Core: Eases implant placement and reduces steps, allowing for up to 6mm of distraction to help increase neuroforaminal space.
- Independent Locking Plates: Bilateral plates separately engage each spinous process to fit patient anatomy.
- Innovative Instruments: Streamlined delivery with one instrument for insertion and expansion.
For more information please visit: https://www.globusmedical.com
2.-AILERON-TRX | Life Spine
The AILERON-TRX Expandable Posterior Fusion System responds to the patient’s and surgeon’s need for a simple, reliable, and less invasive system with minimal exposure and dissection. The in-situ expandable core offers patient matched expansion ensuring an ideal fit for every patient anatomy and pathology.
- Top Rail design increases ease of plate insertion over core and provides optimal anterior implant placement
- In-situ expandable core provides a custom fit for every patient
- Aggressive fixation spikes allow for increased stability and security
For more information please visit: https://lifespine.com/aileron-trx/
3.-ZIP ULTRA | Aurora Spine
The ZIP ULTRA® is Aurora Spine’s minimally invasive interspinous fixation implant for spinal fusion and was developed as an alternative to pedicle screw fixation. The ZIP ULTRA implant is designed for stabilization and load sharing in T1-S1 thoracolumbar fusion procedures as an adjunct to interbody fusion, specifically for the treatment of degenerative disease, spondylolisthesis, trauma, and/or tumor.
The proprietary ZIP ONE-STEP™ locking mechanism eliminates the use of a set screw. Each ZIP ULTRA implant features a large barrel designed for ZIP Graft™ or other bone material. The ZIP ULTRA is designed in various sizes to accommodate variations in patient anatomy. The ZIP ULTRA features an articulating spike design to increase the potential for anatomical conformity with 12° of articulation.
For more information please visit: https://www.aurora-spine.com
4.- StabiLink® | Southern Spine
The principle benefit of the patented StabiLink® MIS Interlaminar Spinal Fixation System is that it is placed between the spinous processes, away from the neural elements including the spinal cord and spinal nerves. The implant is placed through a 2-4 cm incision using the innovative, patented PG® Precision Guided Inserter/ Compressor.
- Small diameter wide-spike design (16 spikes per implant over a broad area) for increased load sharing capacity under both static and fatigue testing
- Laminar Lock Design effectively limits motion in all three planes- lateral bending, axial rotation, and flexion/extension
- Wide range of implant designs and sizes for optimum anatomical fit
- Low profile retains access to facet joints and other anatomy
- Torque controlled locking mechanism results in secure fixation
For more information please visit: http://southernspine.net/stabilink.cms
5.- PrimaLOK™ SP | OsteoMed
PrimaLOK™ SP Interspinous Fusion System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion of the thoracic, lumbar and/or sacral spine. PrimaLOK SP is a bilateral locking plate system which attaches to the posterior non-cervical spine at the spinous processes. It is available in various heights and widths to accommodate differing anatomic requirements.
Benefits:
- Polyaxial grips optimize implant fixation to the spinous
processes – ideal for L5-S1 placement - Seven sizes from 4mm-18mm accommodate variations
in patient anatomy - Large bone graft window with floor enhances stability
and graft containment - Easy-to-use instrument options for a variety of minimally
disruptive surgical approaches - Sterile packaging maintains implant quality and O.R. speed
For more information please visit: http://www.osteomed.com/Spine
6.- Axle | Xtant Medical
Axle Interspinous Fusion System is an internal fixation device for spinal surgery in the non-cervical spine (T1-S1 inclusive). It is a minimally invasive, modular Interspinous fusion system with straightforward instrumentation.The AXLE® Interspinous Fusion System is designed to provide spinal stability for lumbar fusion procedures, including the treatment of degenerative disc disease, spinal tumors and trauma.The device may consist of titanium alloy (per ASTM F136), or both titanium alloy and polyetheretherketone (PEEK) (per ASTM F2026). All implants are intended for single use only and should not be reused under any circumstances.
For more information please visit: https://xtantmedical.com/product/axle/
7.- Clutch | Spinal Elements
The Clutch interspinous process device’s proprietary spring-activated mechanism is designed to maintain active compression against the spinous processes to resist loosening and migration. Additionally, the device’s bone opposing surfaces are enhanced with clinically proven Ti-Bond® technology, designed to provide immediate stability and long-term fixation.
Features:
- ACT™ – Active Compression Technology™
- The locked construct’s proprietary spring-activated mechanism is designed to maintain active compression against the spinous processes to resist loosening and migration.
- Ti-Bond® – Designed for Enhanced Fixation
- Clinically proven Ti-Bond technology is designed to provide immediate stability and long term fixation.
- Anatomic – Optimal Fit
- The 60º anterior flare allows for better placement against the base of the spinous processes.
For more information please visit: https://www.spinalelements.com
8.-Alpine XC™| Zimmer Biomet
The Alpine XC Adjustable Fusion System provides in situ compression/distraction capabilities similar to pedicle screws while reducing time, risks and muscle trauma associated with screw placement.
- More MIS: The ability to insert the device in a small, collapsed configuration allows for minimally invasive exposure
- Patient-Specific: Adjustable sizing allows for an optimized anatomical fit
- In Situ Compression: In situ device compressibility enables surgeon control of lordosis and provides the ability to load interbody grafts
- Advanced Coating Technology:The only spinous process fixation device on the market that features titanium plasma spray coating specifically designed to enhance fixation at the bone-implant interface
For more information please visit: https://www.zimmerbiomet.com
9.- UniVise | Stryker
This plate is a posterior, non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1-S1). It is intended for plate fixation to spinous processes for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease, spondylolisthesis, trauma, and/or tumor. This plate is intended for use with bone graft and is not intended for stand-alone use.
- One piece – no assembly required
- Low-profile, anatomically designed plates
- Radial spike pattern for optimized positioning and grip
- Streamlined instrumentation that allows for posterior midline locking
- A compressor for the application of additional force before final tightening
For more information please visit: https://www.stryker.com/us/en/spine/
10.-BacFuse® | RTI Surgical
The BacFuse® Spinous Process Plate System, part of the Quantum® Spinal Fixation System, allows for supplemental interspinous fixation of the thoracolumbar spine. Promoting a mini-open technique, the BacFuse System includes spinous process plates in a range of sizes, set screws, and surgical instrumentation.
- Minimally invasive
- Multiple size options
- Ti-6Al-4V
For more information please visit: http://www.rtix.com/en_us/