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Endoscopic Spinal Surgery Market

Growing incidence of spinal cord injuries and subsequent adoption of minimally invasive spinal procedures will drive the global market over forecast duration

Endoscopic Spinal surgery market Segmented By Product Type - Endoscope | Endoscopic Devices And Procedure Type - Transforaminal Endoscopic Procedures | Interlaminar Endoscopic Procedures | Endoscopic Posterior Foraminotomy And Cervical Discectomy | Endoscopic Visualized Rhizotomy

Endoscopic Spinal Surgery Market Outlook (2023-2033)

Worldwide revenue from the Endoscopic Spinal Surgery Market stands at US$ 666.3 Mn in 2022, with the global market estimated to expand at a CAGR of 7.9% to reach US$ 1,547.3 Mn by the end of 2033.



Endoscopic Spinal Surgery Market Size (2022)

US$ 666.3 Mn

Projected Market Value (2033)

US$ 1,547.3 Mn

Global Market Growth Rate (2023-2033)

7.9 % CAGR

Market Share of Top 5 Countries


As assessed by Persistence Market Research, endoscopic devices contributed the largest share of 66.6% among the product category in 2022. The endoscopic spinal surgery market holds 5.2% of the global spinal surgery market valued at US$ 12.8 Bn in 2022.

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Sales Analysis of Endoscopic Spinal Surgery Market from 2015 to 2022 Vs Market Outlook for 2023 to 2033

The global market for endoscopic spinal surgery recorded a historic CAGR of 6.6% in the last 7 years from 2016 to 2022.

The use of an endoscope during endoscopic spinal surgery allows for the non-invasive completion of difficult spine operations. An endoscope is a tool that surgeons use to inspect interior body parts. Compared to conventional spinal procedures, endoscope spinal surgeries are speedier and less painful. Because endoscopic spinal surgery causes less collateral tissue injury, demand for it is rising. This is estimated to boost the global market for endoscopic spinal surgery over the course of the anticipated year.

Spinal cord injury has been one of the major causes leading to increased number of spine related surgeries.

  • The World Health Organization stated that nearly 500,000 persons worldwide have spinal cord injury (SCI) each year, with violence and traffic accidents accounting for the majority of these cases.
  • The spine universe report estimates that 1.62 million instrumented spinal procedures are carried out each year in the US.

Furthermore, growing demand for minimally invasive surgeries together with adoption of latest technologically advanced options such as navigation systems utilised for the endoscopic procedures has driven the market in the last few years.

  • In December 2018 A market leader in spine implants, navigation, and intraoperative imaging technology, Medtronic, acquired Mazor Robotics.

In the upcoming years, the market for endoscopic spinal surgery is anticipated to expand significantly. This is mostly due to factors like the rising popularity of minimally invasive spinal operations and the progress of spinal surgery technology. Other factors that are anticipated to drive demand for the market include the rising prevalence of obesity and degenerative spinal disorders worldwide. In addition, it is anticipated that increasing rates of accidents, age-related spinal degeneration, and posture-related back discomfort will increase demand for endoscopic spinal surgery.

  • Balloon Lumbar Interbody Fusion is the newest technology that has been implemented by ozop surgical, a major supplier in the endoscopic spinal surgery market (BLIF). The business will be able to create implants of any form, size, or dimension. This is anticipated to give the global market a major boost.
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How are Manufacturers Growing the Market?

“Rising Ageing Population and lifestyle Changes Create Opportunities”

There is a high demand for spine procedures in healthcare facilities due to the prevalence of spinal injuries. Manufacturers are concentrating on technological developments in the field of surgical methods and devices as a result of the rise of 2D technology and 3D technologies. Important market participants are collaborating to produce and distribute these items through a variety of channels.

Compared to younger populations, the elderly have a higher risk of spinal injury. According to the WHO, almost 500,000 patients suffer from spinal fractures every year, with adults 65 and older suffering the majority of these injuries. According to a new United Nations assessment released, the world's population will grow by 2 billion people over the next 30 years, from 7.7 billion people today to 9.7 billion in 2050, thereby complementing market growth.

  • Mazor Robotics, introduced a process for endoscopic spinal surgery that combines four important technologies to achieve extremely high precision. These technologies are known as cross-modality image registration, sophisticated algorithms, 3D analysis, and patient connection platforms. This should improve the precision of endoscopic spinal surgery.

“Rising Incidence of Road Accidents and Violence”

The potential for endoscopy to increase is favoured owed to increasing number of patients suffering from spinal injuries. Additionally, the adoption of novel technologies and the introduction of new surgical items will provide businesses with a considerable window of opportunity to expand in this industry. There has been an increasing investment in healthcare infrastructure across many developed and developing regions. This will help manufacturers to offer products as per the needs and specifications required for the surgical facility’s set-up in order to test different applications. This could result in possible business possibilities for producers of endoscopic spinal surgery equipment.

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How is Market Progress Being Affected to Some Extent?

Risks of Infection Transmission

Demand for endoscopic spinal surgery is anticipated to be hampered by rising risks of infection transmission brought on by endoscopy and strict government regulations. Only trained medical experts may reprocess endoscopes, which raises the price. If ignored, it could have dangerous health effects. These elements will make it difficult for this market to expand.

The FDA's slowness in approving new products and the rise in medical device failures that result in product recalls are the other two primary factors that are most likely to restrain the expansion of the endoscopic spinal surgery market. Additionally, consumers are discouraged from choosing the market for the operation due to the excessive cost of endoscopic spinal surgery.

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Country-wise Insights

How come the U.S. Market Boom for Endoscopic Spinal Surgery?

“Developed Healthcare Infrastructure in the U.S.”

The U.S. accounted for a 30.5% share of the global market in 2022, and a similar trend is expected over the forecast period.

Traumatic spinal cord injuries in the elderly population have led to disability, morbidity, and even death. Due to the prevalence of conditions like spinal stenosis and degenerative disc degeneration, older persons are more vulnerable. In 2019, the U.S. Census Bureau reported that over 54 million Americans were 65 years of age or older. Additionally, alterations in lifestyle, such as an increase in desk-based occupations, led to an increasing number of spinal cord injuries.

  • Over 4.83 million spinal operations are conducted each year worldwide, with 1.34 million of those operations being performed in the United States alone, according to Surgical Robots for the Spine.

Why is China Emerging as a Prominent Market for Endoscopic Spinal Surgery?

“Increasing Number of Spinal Cord Injuries”

China held the largest market share of 59.2% of the East Asia Market for Endoscopic Spinal Surgery in 2022, with a market value of US$ 50.7 Mn.

  • In China in 2019, 176 million people were 65 years of age or older, according to the WHO. The high senior population and the enormous number of injuries from traffic accidents place a heavy financial strain on the nation.

Automobile accidents are frequently the cause of spinal injury. According to a report, there were approximately 258,532 injuries caused by automobile accidents in 2018. Spinal cord injuries (SCI), which made up the majority of these accidents, are the main cause of China's rising need for endoscopic spinal surgery. Additionally, the ageing adult population contributes to an increase in spinal injury instances.

Will India be a Lucrative Market for Endoscopic Spinal Surgery?

“Increasing Healthcare Spending”

India dominates the South Asia market with a current market share of 63.4% and is projected to progress at a CAGR of 8.5%.

Increased healthcare spending is anticipated to increase demand for endoscopic spinal surgery in India. The changing lifestyle of the Indian people, including changes in dietary habits and an increase in a desk jobs, contributes to spinal injuries occurring at a very young age. According to an article published in the national library of Medicine in 2018 in India, 79% of spinal injuries occurred among rural people, one of the largest segments in the nation's population, according to a study published in the Nature Journal.

  • India’s National Statistical Office (NSO)’s Elderly report, 2021, stated that elderly population of India of age 60 and beyond will see an increase of nearly 41% over the next 10 years. The population in 2021 was around 138 Mn which is estimated to reach nearly 194 Mn by 2031.

Category-wise Insights

Why is the Demand for Endoscopic Devices Higher?

“Endoscopic Devices- Ease of Use, Less Painful Procedure, and Fast Recovery.”

In 2022, endoscopic devices held a 66.6% market share, it is used to investigate several systems in the human body. These include the gastrointestinal tract, respiratory tract, ear, urinary tract, and female reproductive tract. The largest demand is for minimally invasive medical devices due to their simplicity of use, less unpleasant process, and quick recovery. Additionally, the segment's rapid growth has been facilitated by efficient distribution.

Why market share for Transforaminal Endoscopic Procedures is high in Procedure?

For minimally invasive spine surgery, transforaminal endoscopic procedures have become the industry standard. In 2022, transforaminal endoscopic procedures held the highest 35.6% market share in procedure type. It can be used to treat highly migrated lumbar disc herniation (LDHs). Intuitively, a transforaminal endoscopic approach to remove disc herniation appears to be an effective method to deal with the issue.

Which type of Technology takes the highest share?

Compared to 2D technology, 3D technology dominates with 59.5% of the market. Despite significant developments in biotech sector and the creation of specialised tools like digital video equipment, percutaneous systems and enhanced micro-endoscopes, minimally- invasive spinal surgery (MISS) utilizing endoscopes still has limitations due to its 2D pictures.

In everyday life, usage of 3D graphics or procedures such as in television, movies, and educational programmes, have become more common. Additionally, a 3D vision has been used in general, urological, and gynaecological laparoscopic operations with video assistance.

Why Do Hospitals Witness Higher Demand for Endoscopic Spinal Surgery Devices?

Due to greater installation and patient demand for minimally invasive spinal operations at hospitals, hospitals possess a sizeable market share of 47.8%. The biggest income among all end users in 2022 came from hospitals, which brought in US$ 318.4 Mn.

A bigger population in this age bracket is likely to be at risk of developing the condition, as evidenced by the rising number of those over 65. As a result, as the population ages and becomes more susceptible to viral infections, the demand for endoscopic spinal surgery is projected to rise.

Competitive Landscape

Key players are concentrating on product line additions for market growth in developing nations. In order to bring advancements in endoscopic spinal surgery, several manufacturers are investing in the creation of integrated software with cutting-edge technology. Market participants have been constantly on edge to develop products or enter into strategic partnerships to enhance their market presence.

For instance,

  • In November 2020, Medtronics acquired Medicrea International. The later firm is a company who pioneered the transformation of spinal surgery using artificial intelligence (AI), techniques like predictive modelling, and developing patient-specific implants.
  • MedicalTek Co., Ltd. launched a software-based system called MonoStereo 3D endoscope visualization system in Nov 2018

Endoscopic Spinal Surgery Market Report Scope



Forecast Period


Historical Data Available for


Market Analysis

USD Million for Value

Key Countries Covered

  • U.S.
  • Canada
  • Brazil
  • Argentina
  • Mexico
  • Germany
  • France
  • U.K.
  • Italy
  • Spain
  • Russia
  • India
  • Thailand
  • Malaysia
  • Indonesia
  • China
  • Japan
  • South Korea
  • Australia
  • New Zealand
  • Turkey
  • GCC Countries
  • South Africa

Key Market Segments Covered

  • Product
  • Technology
  • Procedure
  • End User
  • Region

Key Companies Profiled

  • Depuy Synthes Spine, Inc. (Johnson & Johnson)
  • Medtronic PLC
  • MedicalTek Co., Ltd.
  • Schölly Fiberoptic GmbH
  • Stryker Corporation
  • Zimmer Holdings, Inc
  • Richard Wolf (RIWOSpine)
  • Joimax GmbH
  • Aesculap Implant Systems
  • Olympus Corporation
  • Karl Storz
  • Globus Medical, Inc
  • SpineGuard
  • Hoogland Spine Products GmbH
  • RZ Medizintechnik
  • Elliquence

Report Coverage

  • Market Forecast
  • Competition Intelligence
  • DROT Analysis
  • Market Dynamics and Challenges
  • Strategic Growth Initiatives

Customization & Pricing

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Key Segments of the Endoscopic Spinal Surgery Market

By Product:

  • Endoscopes
    • High-Definition Rigid Endoscope
    • High-Definition Flexible Endoscope
    • Robot-Assisted Endoscope
    • Endoscopic Instruments Kits
    • Endoscopic Decompression Systems
  • Endoscopic Devices
    • Endoscopic Visualization Systems
    • Full HD Monitors
    • HD Camera Systems
    • Spinal Shaver systems
    • Radiofrequency Surgical Systems
    • Fluid Management Systems & Irrigation Pump Systems

By Technology:

  • 2 D technology
  • 3 D technology

By Procedure:

  • Transforaminal Endoscopic Procedures
    • Thoracic or lumbar discectomy
    • Foraminoplasty
    • Annuloplasty
    • Epidural Infection Aspiration
    • Spinal Fusion
  • Interlaminar Endoscopic Procedures
    • Discectomy
    • Endoscopic Spine Decompression
  • Endoscopic Posterior Foraminotomy and Cervical Discectomy
  • Endoscopic Visualized Rhizotomy

By End User:

  • Hospitals
  • Ambulatory Surgical Centers
  • Specialty Spinal Clinics

By Region:

  • North America
  • Latin America
  • Europe
  • South Asia
  • East Asia
  • Oceania
  • Middle East & Africa

- Companies Covered in This Report -

  • Depuy Synthes Spine, Inc. (Johnson & Johnson)
  • Medtronic PLC
  • MedicalTek Co., Ltd.
  • Schölly Fiberoptic GmbH
  • Stryker Corporation
  • Zimmer Holdings, Inc
  • Richard Wolf (RIWOSpine)
  • Joimax GmbH
  • Aesculap Implant Systems
  • Olympus Corporation
  • Karl Storz
  • Globus Medical, Inc
  • SpineGuard
  • Hoogland Spine Products GmbH
  • RZ Medizintechnik
  • Elliquence

- Frequently Asked Questions -

The global market for endoscopic spinal surgery is valued at around US$ 666.3 Mn in 2022.

By 2033, sales of endoscopic spinal surgery are anticipated to expand at a pace of 7.9 % and reach US$ 1,547.3 Mn.

Demand for endoscopic spinal surgery increased at 6.6% CAGR from 2016 to 2022.

With a combined market share of 54.33% in 2022, the U.S., China, India, Germany, and Russia accounted for the majority of demand for endoscopic spinal surgery.

The U.S. accounted for a 30.52 % share of the global market in 2022.

Depuy Synthes Spine, Inc. (Johnson & Johnson), Medtronic PLC, and MedicalTek Co., Ltd. are the top three manufacturers of the endoscopic spinal surgery market.

China held a share of 59.19 % in the East Asian market in 2022.

The market for endoscopic spinal surgery in Russia is valued at US$ 32.6 Mn in 2022.

In 2022, India will hold a market share of 63.37% in South Asia for endoscopic spinal surgery.

The European market is expected to grow at a CAGR of 8.9 % during the forecast period.

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