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The New Movement in Spine: Sparing the Rod and Growing the Market

The vitality and dynamism in spine surpasses any other medical device segment. Although it's still early in the field, there's a clear first mover advantage, given the long development cycle of spine devices. The time to place bets is now.

Arthroplasty of the spine, the replacement of a disc or nucleus in an effort to repair damaged vertebrae, will be, according to several companies that each spent more than $300 million to acquire their way into it, including Johnson & Johnson , Medtronic Inc. , and Synthes-Stratec (see Exhibit 1)[See Deal], [See Deal], [See Deal], a $3 billion industry five years from now. It's all about preserving motion in the repair of damaged discs for patients who, otherwise, have no middle ground between exercise or a permanent anatomy-altering spinal fusion surgery.

But arthroplasty is only part of a broader technology explosion that has come to the spine market, once one of the most conservative and least appreciated segments of the orthopedic...

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• By Shubham Singh

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• By Vibha Sharma

The UK has issued clearer guidance to help drug and medical device sponsors demonstrate how they intend to include a diverse and relevant range of participants in their clinical trials.