1 Global Endoscopic Spinal Surgery Market Size (Value) and CAGR (2024-2033)
In 2024, the global Endoscopic Spinal Surgery market was valued at USD 805.62 million, with a CAGR of 6.5% from 2024 to 2033.
Endoscopic spinal surgery is a surgical procedure using micro-sized incisions and small tubular systems in combination with an endoscope to visualize the surgical field. While endoscopic surgical approaches are commonly used to treat other areas of the body (eg, gastrointestinal), advances in optics, visualization of tissues, and spinal imaging make ESS a surgical treatment choice for many patients.
Endoscopic spinal surgery is a non-invasive procedure to perform complex spinal surgeries with the help of an endoscope. Endoscope is an instrument used by surgeons to view internal body parts. Endoscope spinal surgeries are quick and pain less as compared to the traditional spinal surgeries. The demand for endoscopic spinal surgery is increasing owing to its ability of less collateral tissue damage.
Figure Global Endoscopic Spinal Surgery Market Size (M USD) and CAGR 2024-2033
2 Endoscopic Spinal Surgery Market Drivers
Endoscopic Spinal Surgery offers numerous advantages over traditional open surgeries, which require large incisions, extensive muscle stripping, and longer recovery times. ESS, on the other hand, is minimally invasive, resulting in less tissue damage, reduced blood loss, and quicker recovery. Patients undergoing ESS experience less postoperative pain, shorter hospital stays, and a lower risk of infection.
The global population is aging, and with it comes an increase in age-related spinal conditions. According to the World Health Organization, approximately 500,000 people worldwide suffer from spinal cord injuries each year, primarily due to traffic accidents and violence. The elderly are particularly susceptible to spinal injuries and disorders, and with the global population over 60 expected to reach 2 billion by 2050, the demand for effective spinal treatments is set to soar. ESS provides a viable and efficient solution for many of these patients, driving market growth.
Technological advancements in the field of ESS are creating new surgical approaches and improving clinical outcomes. High-resolution optics, advanced imaging systems, and robotic assistance are enhancing the precision and safety of these surgeries. Innovations such as continuous irrigation systems, water-based surgeries, and angled lenses are reducing the risk of neural structure damage and infection.
3 Endoscopic Spinal Surgery Market Restraints
Endoscopic Spinal Surgery is a highly specialized field that requires extensive training and expertise. The procedure involves complex techniques that are still in their infancy, and only a few surgeons are proficient in performing these surgeries regularly. The steep learning curve associated with ESS means that many spine surgeons find it challenging to master the necessary skills.
The equipment required for ESS is sophisticated and expensive. High-resolution optics, endoscopic cameras, high-speed drills, and bipolar devices are essential for these minimally invasive surgeries. The initial investment in such equipment can be prohibitive for many healthcare facilities, limiting the availability of ESS services.
The field of Endoscopic Spinal Surgery is relatively new, and clinical research is still limited for many techniques and indications. While short-term results are promising, long-term follow-up data is scarce, creating uncertainty among healthcare providers and patients. The lack of established guidelines for ESS means that many decisions rely on the individual experience of specialized surgeons. The limited field of vision under endoscopic view can also reduce the ability to respond to intraoperative events, potentially requiring conversion to open surgery if complications arise.
4 Global Endoscopic Spinal Surgery Market Size and Share by Type in 2024
Endoscopes are thin, flexible or rigid tubes equipped with a light source and a camera at one end. They are used to visualize the surgical field during minimally invasive procedures. In the context of Endoscopic Spinal Surgery, endoscopes allow surgeons to perform complex surgeries with minimal tissue damage. These instruments are essential for procedures such as endoscopic discectomy, foraminotomy, facet rhizotomy, and laminotomy.
The market for endoscopes is driven by advancements in optical technology, which provide clearer and more detailed images, enhancing surgical precision. The market value for endoscopes in 2024 is forecasted to be $233.07 million.
Accessories in Endoscopic Spinal Surgery refer to the additional tools and equipment used in conjunction with endoscopes. These include high-definition medical monitors, irrigation pumps, multi-frequency systems, drill and resection systems, and more. Accessories play a crucial role in supporting the functionality of endoscopes and ensuring the smooth execution of surgical procedures. The market for accessories is driven by the need for comprehensive and integrated surgical systems.
As the complexity of spinal surgeries increases, the demand for advanced and specialized accessories also rises. The larger market value of accessories compared to endoscopes reflects their essential role in the overall surgical process. The market value for accessories in 2024 is forecasted to be $572.55 million.
Table Global Endoscopic Spinal Surgery Market Size and Share by Type in 2024
Type | Market Size (M USD) 2024 | Market Share 2024 |
Endoscope | 233.07 | 28.93% |
Accessories | 572.55 | 71.07% |
5 Global Endoscopic Spinal Surgery Market Size and Share by Application in 2024
Endoscopic Discectomy: This application involves the removal of herniated disc material causing pain in the lower back, mid-back, or neck. In 2024, the market value for Endoscopic Discectomy is projected to be $361.16 million. This segment is driven by the high prevalence of disc-related spinal disorders and the benefits of minimally invasive procedures, which include reduced recovery time and lower risk of complications.
Endoscopic Foraminotomy: This procedure enlarges the nerve root openings by removing bone spurs or other obstructions causing nerve compression. The market value for Endoscopic Foraminotomy in 2024 is forecasted to be $128.02 million. The growth of this segment is attributed to the increasing number of patients with spinal stenosis and other conditions requiring nerve decompression.
Endoscopic Facet Rhizotomy: This application involves the removal of medial branch nerves supplying the facet joints to alleviate back pain. The market value for Endoscopic Facet Rhizotomy in 2024 is expected to be $97.57 million. The demand for this procedure is driven by the increasing prevalence of chronic back pain and the need for effective pain management solutions.
Endoscopic Laminotomy: This procedure involves removing part of the lamina to relieve pressure on the spinal cord or nerves. The market value for Endoscopic Laminotomy in 2024 is projected to be $153.35 million. The growth of this segment is driven by the increasing number of patients with spinal stenosis and other conditions requiring decompression of the spinal canal.
Table Global Endoscopic Spinal Surgery Market Size and Share by Application in 2024
Application | Market Size (M USD) 2024 | Market Share 2024 |
Endoscopic Discectomy | 361.16 | 44.83% |
Endoscopic Foraminotomy | 128.02 | 15.89% |
Endoscopic Facet Rhizotomy | 97.57 | 12.11% |
Endoscopic Laminotomy | 153.35 | 19.04% |
Others | 65.52 | 8.13% |
6 Global Endoscopic Spinal Surgery Market Size by Region in 2024
North America: North America is a significant contributor to the global Endoscopic Spinal Surgery market, driven by advanced healthcare infrastructure and high demand for minimally invasive procedures. In 2024, the market value for North America is projected to be $268.83 million. The United States and Canada are the primary markets within this region, with the U.S. accounting for the majority of the market share. The growth in this region is driven by technological advancements, high healthcare spending, and a growing aging population.
Europe: Europe is another major market for Endoscopic Spinal Surgery, with a projected market value of $338.12 million in 2024. Countries such as Germany, the UK, France, and Italy are key players in this region. The growth in Europe is driven by the increasing prevalence of spinal disorders, a strong healthcare system, and the adoption of advanced surgical technologies. The region is also known for its research and development activities in the field of minimally invasive surgeries.
Asia Pacific: The Asia Pacific region is experiencing rapid growth in the Endoscopic Spinal Surgery market, driven by increasing healthcare awareness and improving healthcare infrastructure. In 2024, the market value for the Asia Pacific region is forecasted to be $134.70 million. China and Japan are the primary markets within this region, with China contributing significantly to the growth due to its large population and increasing healthcare spending. The growth in this region is also driven by the increasing prevalence of spinal disorders and the adoption of minimally invasive surgical techniques.
Figure Global Endoscopic Spinal Surgery Market Size by Region in 2024
7 Major Players in Global Endoscopic Spinal Surgery Market
7.1 Medtronic
Company Profile: Medtronic is a leading global medical technology company founded in 1949. Headquartered in Dublin, Ireland, Medtronic operates through a network of manufacturing plants primarily located in North America and Europe. The company is renowned for its extensive portfolio of device-based medical therapies and services, catering to a wide range of healthcare needs worldwide.
Business Overview: Medtronic’s business is segmented into four main groups: Cardiac and Vascular, Minimally Invasive Technologies, Restorative Therapies, and Diabetes. The company’s Minimally Invasive Technologies group is particularly active in the field of Endoscopic Spinal Surgery, offering advanced solutions that blend AI-powered data science, robotics, navigation, implants, biologics, and access technologies. Medtronic’s commitment to innovation and clinical excellence has positioned it as a leader in minimally invasive surgical procedures.
Product and Service Analysis: Medtronic offers a comprehensive ecosystem for minimally invasive spine surgery (MIS+), which includes AI-powered data science, robotics, navigation, implants, biologics, and access technologies. Their products are designed to streamline surgical techniques, delivering both clinical and economic value. Medtronic’s recent innovations focus on enhancing surgical precision and patient outcomes, making it a preferred choice for healthcare providers globally.
Recent Financial Performance: In the most recent fiscal year, Medtronic reported a revenue of $164.60 million in the Endoscopic Spinal Surgery segment, with a gross profit of $87.69 million.
7.2 DePuy Synthes
Company Profile: DePuy Synthes is a global leader in orthopaedic trauma devices, with a history dating back to 1895. The company is part of Johnson & Johnson and operates through a network of manufacturing plants primarily located in North America and Europe. DePuy Synthes is known for its comprehensive portfolio of products designed to treat conditions affecting the face, head, and thorax.
Business Overview: DePuy Synthes offers a wide range of orthopaedic and spinal reconstructive implants, bone cement, and related surgical products. The company’s focus on innovation and quality has made it a trusted name in the medical device industry. DePuy Synthes is particularly active in the development of minimally invasive surgical technologies, which are designed to reduce patient recovery time and improve surgical outcomes.
Product and Service Analysis: DePuy Synthes is renowned for its CONCORDE® Clear MIS Discectomy Device, a single-use, sterile-packed instrument that enables minimally invasive disc clearing and endplate preparation. The device features variable cutting tip sizes, a tip guard to reduce penetration risk, and a suction-curette mechanism for efficient disc material removal. DePuy Synthes continues to innovate, offering products that enhance surgical precision and patient safety.
Recent Financial Performance: In the most recent fiscal year, DePuy Synthes reported a revenue of $129.11 million in the Endoscopic Spinal Surgery segment, with a gross profit of $63.43 million.
7.3 Stryker
Company Profile: Stryker is a leading medical technology company founded in 1941. Headquartered in Kalamazoo, Michigan, Stryker operates through a network of manufacturing plants primarily located in North America and Europe. The company is known for its innovative products and services in the fields of Medical and Surgical, Neurotechnology, Orthopaedics, and Spine.
Business Overview: Stryker offers a wide range of products and services designed to improve patient and hospital outcomes. The company’s focus on minimally invasive technologies has positioned it as a leader in the field of Endoscopic Spinal Surgery. Stryker’s commitment to innovation and quality has made it a trusted name in the medical device industry, with a strong presence in both developed and emerging markets.
Product and Service Analysis: Stryker is renowned for its high-definition endoscopic camera systems, which are used to produce still and video images during surgical procedures. These systems are sensitive in the visible and infrared spectrum, providing surgeons with clear and detailed visualizations of the surgical field. Stryker’s products are designed to enhance surgical precision and patient outcomes, making them a preferred choice for healthcare providers globally.
Recent Financial Performance: In the most recent fiscal year, Stryker reported a revenue of $84.71 million in the Endoscopic Spinal Surgery segment, with a gross profit of $44.08 million.