► PriceGuide Technology SNAPSHOT

Rapid Access Market Overview for Healthcare Decision Makers

Category: Screws Bone Spinal
Description
Threaded rods (i.e., screws) intended for insertion in the bones of the spinal column
and used in various spinal applications (e.g., fracture fixation, spinal fusion). These
screws are typically composed of non-biodegradable materials (e.g., metal; carbon
fiber, polyetheretherketone [PEEK]); however, screws composed of biodegradable
materials are also available. Spinal screws frequently incorporate a head design that
facilitates attachment of additional spinal fixation hardware (e.g., plates, rods),
allowing stabilization and/or immobilization of one or more vertebral segments.

Popular Manufacturers and Models

Key Considerations
PriceGuide Member Interest
Screws Bone Spinal, Top Manufacturers  Head Type - The screw head – often referred to as
August 2017 - August 2018 “tulip” for its shape – can have one of three
rotational geometries: 1. Polyaxial: allows a
Medtronic Spinal
variable angle between the screw shaft and the
and Bio
head to facilitate coupling of the screw with the
$180,906,052.29 spinal geometry. 2. Monoaxial: has a fixed angle
DePuy Synthes $121,393,404.90 between the screw shaft and tulip. 3. Uniaxial:
allows for uniaxial rotation, i.e., along one plane of
motion.
NuVasive Inc $80,401,762.53
 Marketed as Self-Tapping or Self-Drilling - Some
spinal screws have a tip geometry that facilitates
threading or drilling of the bone as it is driven in,
Globus Medical Inc $51,583,903.39
eliminating the need for the surgeon to drill a pre-
tapped hole in which to drive the pedicle screw.

Stryker Spine $42,603,063.90  Outer Diameter (OD) - The widest measurement

of the spine screw's thread.

 Length - The total length of the spinal screw.

PriceGuide Member Interest

Screws Bone Spinal, Top Products
August 2017 - August 2018

$4,751,461.05 Key Questions Answered

DePuy Synthes - 188318314 - L14MM OD3.5MM GREEN
SILVER TITANIUM ALUMINUM VANADIUM
 Who are the major players in this market?
DePuy Synthes - 04615014 - 50DEG L14MM OD3.5MM
GOLD TITANIUM ALLOY SELF TAPPING
$2,882,553.41  What are the top models among PriceGuide
Members?
DePuy Synthes - 188318312 - L12MM OD3.5MM GREEN
$2,683,219.89
SILVER TITANIUM ALUMINUM VANADIUM  What were the product and pricing trends for
Screws Bone Spinal between 2015 - 2017?
DePuy Synthes - 04614014 - 50DEG L14MM OD3.5MM
GOLD TITANIUM ALLOY SELF TAPPING
$2,454,257.49

Stryker Spine - 482316545 - 50DEG L45MM OD6.5MM

GRAY TITANIUM ALLOY SELF TAPPING
$2,187,625.44

● Market data charts are based solely upon price points submitted to ECRI Institute by members of the
PriceGuide advisory service. This data is not validated market share and is time sensitive.

ECRI Institute
The Discipline of Science. The Integrity of Independence. ©2018 ECRI Institute
www.ecri.org
Feature Comparison for Top 5 Models
Manufacturer
DePuy Synthes Co A Johnson &
Johnson Co
SCREW SPINAL L14MM OD3.5MM
GREEN SILVER TITANIUM
ALUMINUM VANADIUM
THORACIC PEDICLE POSTERIOR
APPROACH FAVORED ANGLE
FULLY THREADED SINGLE LEAD
THREAD PATTERN BUTTRESS
COLOR CODED LOW PROFILE SELF
FORMING TIP CYLINDRICAL
IMPLANTABLE MOUNTAINEER
FOR OPEN S
DePuy Synthes Co A Johnson &
Johnson Co
SCREW SPINAL 50DEG L14MM
OD3.5MM GOLD TITANIUM
ALLOY CANCELLOUS THORACIC
PEDICLE POSTERIOR APPROACH
SELF TAPPING FULLY THREADED
VARIABLE ANGLE SINGLE LEAD
THREAD PATTERN COLOR CODED
MAXIMUM ANGULATION
CYLINDRICAL IMPLANTABLE
SYNAPSE FOR 4MM OPEN
SURGERY S
DePuy Synthes Co A Johnson &
Johnson Co
SCREW SPINAL L12MM
OD3.5MM GREEN SILVER
TITANIUM ALUMINUM
VANADIUM THORACIC PEDICLE
POSTERIOR APPROACH FAVORED
ANGLE FULLY THREADED SINGLE
LEAD THREAD PATTERN
BUTTRESS COLOR CODED LOW
PROFILE SELF FORMING TIP
CYLINDRICAL IMPLANTABLE
MOUNTAINEER FOR OPEN S
DePuy Synthes Co A Johnson Stryker Spine Div Stryker Corp
& Johnson Co SCREW SPINAL 50DEG L45MM
SCREW SPINAL 50DEG L14MM OD6.5MM GRAY TITANIUM
OD3.5MM GOLD TITANIUM ALLOY THORACOLUMBAR
ALLOY CANCELLOUS PEDICLE
THORACIC PEDICLE ANTERIOR/POSTERIOR
POSTERIOR APPROACH SELF APPROACH SELF TAPPING
TAPPING FULLY THREADED FULLY THREADED VARIABLE
VARIABLE ANGLE SINGLE LEAD ANGLE SINGLE LEAD THREAD
THREAD PATTERN COLOR PATTERN BUTTRESS CUTTING
CODED MAXIMUM FLUTE NONSTERILE CONICAL
ANGULATION CYLINDRICAL IMPLANTABLE XIA 3 FOR
IMPLANTABLE SYNAPSE FOR OPEN SURGERY
OPEN SURGERY

CATALOG NUMBER 188318314 04615014 188318312 04614014 482316545

UMDNS DESCRIPTION Screws, Bone, Spinal Screws, Bone, Spinal Screws, Bone, Spinal Screws, Bone, Spinal Screws, Bone, Spinal
SPINAL SEGMENT: CERVICAL No No No No No
SPINAL SEGMENT: THORACIC Yes Yes Yes Yes Yes
SPINAL SEGMENT: LUMBAR No No No No Yes
SPINAL SEGMENT: SACRAL No No No No No
SURGICAL APPROACH Posterior Posterior Posterior Posterior Both
SURGERY TYPE Open Open Open Open Open
MATERIAL Titanium (alloy) Titanium (alloy) Titanium (alloy) Titanium (alloy) Titanium (alloy)
POLYAXIAL HEAD RANGE OF MOTION Not applicable 50 Not applicable 50 50
TITANIUM POLYAXIAL SCREW COLOR Not applicable Gold Not applicable Gold Gray
THREAD DEPTH (OD-ID), mm Not specified Not specified Not specified Not specified Not specified
FULL OR PARTIAL THREADING Full Full Full Full Full
MARKETED AS MINIMIZING THE RISK OF CROSS- No No No No Yes
THREADING
HEAD TYPE Polyaxial Polyaxial Polyaxial Polyaxial Polyaxial
MARKETED AS SELF-TAPPING OR SELF-DRILLING No Yes No Yes Yes
OUTER DIAMETER (OD), mm 3.5 3.5 3.5 3.5 6.5
LENGTH, mm 14 14 12 14 45
THREAD LEAD TYPE Single Single Single Single Single
HAS COATING INTENDED TO PROMOTE BONY No No No No No
INGROWTH
MARKETED AS EXPANDING No No No No No
MARKETED AS CANNULATED No No No No No
MARKETED AS FENESTRATED No No No No No
COLOR-CODED Not applicable Yes Not applicable Yes Yes
Price Trend

Price Trend - Screws Bone Spinal

2015 - 2017
$600.00

R² = 0.4753
$500.00

$400.00

$300.00

$200.00

$100.00

$0.00
2015 2016 2017
Average Price $431.00 $466.54 $456.21

ECRI Institute Pub lis hed Oc tob er 2 0 1 8

The Discipline of Science. The Integrity of Independence. ©2018 ECRI Institute
www.ecri.org

The information provided in this report may be derived from a number of sources, including manufacturers, clinical users, and member facilities. We make every reasonable effort to ensure that it is up-to-date
and verify it with the most knowledgeable sources. The contents of this document should not be regarded as a guarantee of the safety, performance, or cost-effectiveness of any equipment, device, or system.
This document was created for ECRI Institute member organizations and is copyrighted. It may not be shared with manufacturers or any third party without written permission from ECRI Institute.

©2018 ECRI Institute. All Rights Reserved. This material is confidential, and use of the copyright notice is not intended to suggest or imply that the material has been published or is available for public
dissemination. This report was created for ECRI Institute members and should not be reproduced or transmitted to third parties without written permission from ECRI Institute.

For updated information on Pricing, Equipment Specifications, or Functional Equivalents

or to request a more information about PriceGuide, Click Here: PriceGuide@ecri.org