A major limiting factor for the traditional spinal fusion markets is the development of motion preservation technology. Lumbar artificial discs (LADs) have not been as successful at cannibalizing thoracolumbar fixation devices as previously anticipated due to a lack of reimbursement and unfavorable clinical results. Favorable reimbursement policies are expected for these devices as favorable clinical results involving newer devices emerge. Despite many challenges, growth is expected in many market segments, as the patient demographics and rising incomes in Brazil maintain a steady demand for such procedures. Barring unexpected major demographic change, for the next three to five decades the speed of aging in the region will continue on a singularly rapid course. Growth in the number of persons aged 60 and over is expected to stimulate growth in both fusion and non-fusion spinal implant markets.

Abstract
The full report suite on the Brazilian market for spinal implants and VCF segments for traditional cervical and thoracolumbar fixation devices, interbody devices, motion preservation devices, vertebral compression fracture (VCF) treatment, spinal electrical stimulation and spinal instrumentation.