GLOBAL SPINAL LAMINOPLASTY MARKET SIZE AND SHARE ANALYSIS - GROWTH TRENDS AND FORECASTS (2023 - 2030)

The global spinal laminoplasty market size is expected to reach US$ 7.75 Bn by 2030, from US$ 5.75 Bn in 2023, exhibiting a CAGR of 4.4% during the forecast period.

Spinal laminoplasty is a surgical procedure used to relieve pressure on the spinal cord caused by spinal stenosis. It works by enlarging the spinal canal and creating more space for the spinal cord.

Global Spinal Laminoplasty Market- Regional Insights

• North America is expected to be the largest market for spinal laminoplasty during the forecast period, accounting for over 40.7% of the market share in 2023. North America has been dominating the global spinal laminoplasty market and is expected to continue its trend over the forecast period. The region has a highly developed healthcare infrastructure and rising prevalence of spinal disorders such as spinal stenosis. Additionally, advanced reimbursement policies have ensured higher affordability of spinal surgery in countries like the U.S. major players have been establishing their manufacturing and distribution networks in North America to better address the needs of spinal surgeons. Regulatory approvals are swiftly provided for new product launches. Moreover, technical advancements have allowed hospitals in North America to perform complex spinal surgeries with minimal invasion. Researchers are also actively conducting clinical trials to expand the scope of minimally-invasive spinal laminoplasty procedures.
• Asia Pacific is expected to be the second-largest market for spinal laminoplasty, accounting for over 23.2% of the market share in 2023. The Asia Pacific region is identified as the fastest growing market for spinal laminoplasty over the next five years. Rapid economic development, increasing healthcare expenditures, growing medical tourism industry and rising affordability are the key factors driving the market growth. Countries like China, India, and Japan have a huge patient pool undergoing spinal surgeries. Additionally, industry players see immense opportunities in providing affordable implants and instruments to cater to the masses in the Asia Pacific region.
• Europe is expected to be the third largest market for spinal laminoplasty, accounting for over 15% of the market share in 2023. The European spinal laminoplasty market is influenced by factors such as technological advancements, an aging population, and the state of healthcare infrastructure. As surgical techniques and technologies evolve, the adoption of spinal laminoplasty procedures may see growth. The increasing prevalence of spinal conditions in the aging demographic contributes to a potential rise in demand for such surgeries. Additionally, the regulatory environment, market competition, and the accessibility of healthcare services play pivotal roles in shaping the dynamics of the spinal laminoplasty market in Europe. Staying updated through recent market reports and industry analyses is recommended for the latest insights.

Figure 1. Global Spinal Laminoplasty Market Share (%), By Region, 2023

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Analyst’s Views: The spinal laminoplasty market has strong growth prospects driven by the rising geriatric population worldwide and the increasing prevalence of spinal stenosis. An aging population will significantly fuel the number of surgical procedures for spinal disorders in the coming years. Additionally, technological innovations enabling less invasive procedures and quicker recovery times are projected to boost the adoption of laminoplasty. However, high procedure costs pose a major barrier to market growth as laminoplasty surgery is more expensive than laminectomy. Reimbursement challenges in some countries further restrains market revenue generation. Safety concerns over new devices and techniques may also slow their acceptance initially.

Global Spinal Laminoplasty Market- Drivers

• Increasing prevalence of cervical spondylotic myelopathy: As the human population ages, there is an increasing occurrence of cervical spondylotic myelopathy. This condition involves compressive pathologies such as herniated discs, osteophyte formation, and ligamentum flavum hypertrophy that put pressure on the spinal cord. Over time, this chronic compression can lead to neurologic deficit symptoms ranging from neck pain to loss of hand function. With the rising life expectancy globally, more individuals are living long enough to develop age-related cervical spondylotic changes that result in spinal cord impairment. According to estimates, cervical spondylotic myelopathy affects approximately 200 per million individuals. While conservative treatment may help control symptoms in some patients, decompression of the spinal cord through surgery becomes necessary for those with significant neurologic dysfunction or progressive deficit. Laminoplasty is an attractive surgical option in such cases as it provides wider decompression of the spinal cord compared to laminectomy while retaining stability of the vertebral segments. Several modified laminoplasty techniques have been developed that aim to reduce post-operative axial neck pain, which has been a limitation of traditional open-door laminoplasty. As the number of elderly patients suffering from advanced cervical myelopathy rises, the need for effective widening decompression procedures like laminoplasty will continue increasing in the years to come.
• Improving reimbursement policies: In many countries, reimbursement policies regarding spinal surgery procedures have evolved in recent times to include a broader set of indications. For laminoplasty in particular, both private and public insurance companies have recognized its benefits compared to alternative surgical strategies. More coverage policies now allow laminoplasty to be performed not just for multi-level spinal cord compression but also in certain single-level cases. This expanded approval reflects growing clinical evidence supporting laminoplasty's ability to provide sufficient decompression with minimal long-term segmental instability. Simultaneously, there have been efforts to streamline and simplify the process of obtaining insurance approvals. Many spinal surgeons can now obtain pre-authorization more easily for laminoplasty in suitable patients through online portals or dedicated apps. This reduces delays in scheduling the surgery. At the same time, insurance providers have become cognizant of laminoplasty's potential to yield lower overall healthcare costs in the long run through fewer repeat surgeries and reduced need for pain management. Favorable coverage decisions acknowledging these economic advantages will help drive greater utilization and uptake of laminoplasty techniques over the next few years.

Global Spinal Laminoplasty Market- Opportunities

• Increasing adoption of 3D-printed implants: The increasing adoption of 3D printed implants represents a major opportunity for advancements in the spinal laminoplasty market. 3D printing technology allows to create highly customized implants tailored precisely to a patient's anatomy and spinal structure. This level of customization was not previously possible through traditional manufacturing methods and holds potential for improved surgical outcomes. As 3D printing techniques become more sophisticated, refined, and less expensive, their use for producing spinal implants and assisting with laminoplasty procedures is likely to grow substantially in the coming years. Important innovations are currently being made that will drive this adoption upwards.
• Growth in medical tourism: Medical tourism has the potential to drive significant growth in the spinal laminoplasty market in the coming years. As the costs of treatment in developed countries continue to rise, more patients are choosing to travel abroad for quality yet affordable care. Countries like India, Thailand, and Mexico have emerged as popular destinations for medical tourism due to their state-of-the-art healthcare infrastructure and world-class specialists at fraction of the price compared to the U.S. or European hospitals. Spinal laminoplasty is a delicate yet cost-intensive procedure that treats spinal stenosis. According to the WHO, spinal stenosis affects one in 10 people over the age of 50 globally and its prevalence is expected to increase significantly due to rapid aging of the population.

Global Spinal Laminoplasty Market- Trends

• Adoption of MIS techniques over open surgeries: The adoption of minimal invasive spine surgery (MISS) techniques over traditional open spinal surgeries is having a significant influence on the spinal laminoplasty market. With advancements in technology, doctors now have improved tools and smaller incisions to access and treat spinal conditions. This has led to greater acceptance of spinal laminoplasty procedures among both patients and surgeons.
• Increase in ambulatory surgery centers: The rise of ambulatory surgery centers is having a significant impact on the spinal laminoplasty market. Ambulatory surgery centers or ASCs are modern medical facilities focused on providing surgical care to patients on an outpatient basis rather than admitting them to the hospital as inpatients. They aim to perform surgeries more efficiently and at a lower cost compared to traditional hospital-based procedures. ASCs are transforming spinal procedures like laminoplasty which previously required a hospital stay but can now often be done safely on an outpatient basis. This trend is very appealing to patients as ASC care allows them to avoid an overnight hospital admission. It reduces inconvenience and improves the patient experience. For surgeons and facilities as well, ASCs allow them to perform more scheduled spine cases with less overhead expenses compared to hospitals. As a result, ASCs have experienced rapid growth over the past decade.

Global Spinal Laminoplasty Market - Restraints

• High cost of spinal laminoplasty procedures: The high cost of spinal laminoplasty procedures is significantly restraining the growth of the spinal laminoplasty market. Spinal laminoplasty is a complex surgical procedure that requires the expertise of highly skilled neurosurgeons. It involves decompressing the spinal cord and nerves without removing any part of the spinal column. Due to the intricate nature of the surgery and specialized equipment required, the total procedural cost of spinal laminoplasty is quite high.
• Risk of complications associated with spinal surgeries: The risk of complications associated with spinal surgeries is indeed restraining the growth of the spinal laminoplasty market. Spinal laminoplasty is a complex procedure that involves restructuring of the spine to relieve pressure on the spinal cord. As with any major surgery, there are inherent risks involved with spinal laminoplasty. Some of the common complications include instability or failure of internal fixation devices, nerve root injuries, dural tearing, hematomas, infection, neurological deficit, and recurrence of spinal stenosis. The complex anatomical structure of the spine makes it susceptible to accidental damage during the procedure. Even minor errors can lead to long-term functional disabilities for the patients.

Figure 2. Global Spinal Laminoplasty Market Share (%), By Product, 2023

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Global Spinal Laminoplasty Market- Recent Developments

Business Development Activities by the Market Players

• On November 16, 2023, Curiteva, a privately-held technology and manufacturing company based in Huntsville, AL, U.S. announced the commercial launch of its Prowess Laminoplasty System. The system is designed to provide surgeons with the tools they need to perform posterior decompression of the cervical spine with greater precision, accuracy, and efficiency.
• In January 2020, Medtronic, a global leader in medical technology, services, and solutions expanded its portfolio by incorporating Stimgenics, LLC, an innovating company headquartered in Illinois, U.S. known for its groundbreaking development of a spinal cord stimulation (SCS) waveform dubbed Differential Target Multiplexed (DTM) Spinal Cord Stimulation. Through this strategic move, Medtronic is poised to refine the experiences it offers to its consumers
• In November 2019, NuVasive, Inc., a medical devices company made a significant contribution to the field of spinal health with the introduction of its novel C360 cervical spine series and the Anterior Cervical Plating (ACP) system. These innovative offerings are intended to enhance the standard of spinal care delivered to patients.

Top Companies in the Global Spinal Laminoplasty Market

• DePuy Synthes
• Zimmer Spine
• Medtronic
• Raymedica
• Replication Medical
• Vertebral Technologies
• NP Solutions
• Arthro Kinetics
• Pioneer Surgical Technologies
• Cryo Life
• Synthes Spine

Definition: Spinal laminoplasty is a surgical procedure designed to address spinal stenosis, a condition where there is a narrowing of the spinal canal. Specifically applied to the cervical spine (neck region), laminoplasty involves the creation of additional space within the spinal canal. During the procedure, the lamina, a bony arch on the vertebrae, is partially removed and then reconstructed to expand the spinal canal, alleviating pressure on the spinal cord. This technique is often employed to relieve symptoms associated with cervical myelopathy, a condition resulting from spinal cord compression. Unlike some other spinal surgeries, laminoplasty aims to maintain the stability of the spine without fusion, allowing for the preservation of motion. This surgical approach is considered when non-surgical treatments prove insufficient, and it aims to enhance the patient's neurological function and overall quality of life.