Total disk replacement is a type of back/spine surgery that involves replacing a damaged or degenerated disk with an artificial replacement device in the lumbar or cervical region. A disc replacement such as artificial disc is a device that is implanted into the spine that perform the similar function as that of normal disc in the human body. As the name indicate, a total disc replacement is a procedure that include complete or partial exclusion of the disc tissue to implant replacement device into the space between the vertebrae. The prostheses aids in maintaining spinal curvature, and improving flexibility, while reducing or possibly eliminating pain. Active reconstruction of a degenerative functional spinal unit is a rapidly growing field in the total disc replacement market.

With significant developments in the total disc replacement market, awareness among patients, increasing incidences of spinal disorders, and increasing demand for minimally invasive procedures is projected to drive market growth in the near future. The benefits of minimally invasive surgery procedures have significantly contributed to the growing demand for procedures with less tissue disruption of the vertebrae.

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Total Disc Replacement Market Taxonomy

Based on type, the total disc replacement market can be segmented into cervical and lumbar discs implant. The lumbar disc implant segment dominates the market in terms of revenue contribution.

By Product Type:

• Cervical Discs Implant
• Lumbar Discs Implant

By Material:

• Metal on biopolymer discs
• Metal on metal discs

The metal on biopolymer segment accounted for highest market share in 2016, owing to its biocompatibility and increasing interest among pharma and medical professionals. The metal on metal artificial disc segment is likely to grow at a high CAGR over the forecast period, due to its low cost.

By End User:

• Hospitals
• Orthopaedic Clinics

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Market Dynamics

The total disc replacement market is mainly driven by rapidly aging population and increasing prevalence of rheumatoid and osteoarthritis across the globe. The market has witnessed high growth, owing to an increased awareness for total disc replacement procedures, advent of sophisticated diagnostic tools and techniques, and rising patient pool. Other conducive factors such as rising healthcare expenditure and implants and growth in spine care surgery centres is projected to drive the market in foreseeable future.

The expansion of global disc replacement market is hindered by reimbursement challenges, and high cost of implants. Additionally lack of trained healthcare workers, increasing spontaneous fusion of implant over time, limitations in restoring disturbed curvatures, and increasing popularity of intraoperative technology are some of the factors restraining growth of the market.

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Regional Scenario

In terms of geography, North America dominates the market for total disc replacement, followed by Europe and Asia Pacific, respectively. Similarly, Latin America significantly contribute to the total market owing to high growth in Mexico. Asia Pacific is projected to be the fastest growing market, owing to developing medical infrastructure, increased spending on health care, medical literacy and growing medical tourism in emerging economies such as China and India in this region. Total disc replacement growth is considerably high in the U.S. and Mexico compared to other countries due to advanced technology, highest prevalence of bone related disorders, robust healthcare infrastructure, good economic conditions, favorable reimbursement scenario, and increased awareness among the populace.

Competitive Scenario

The market witnesses high competitive intensity, as there are several big and many small firms with similar product offerings. Following are the major key players in the market:

Stryker Corporation, De Puy Spine, Inc., Smith & Nephew Plc., Medtronic, Globus Medical, Zimmer Biomet, NuVasive, Inc., Alphatec Spine, Inc., Stryker Corporation, and Aesculap Implant Systems are some of the major players in the global total disc replacement market.

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