Global Market Size, Forecast, and Trend Highlights Over 2025-2037
Vertebroplasty And Kyphoplasty Market size was valued at USD 2.2 billion in 2024 and is projected to reach USD 5.1 billion by 2037, growing at a CAGR of 7.2% during the forecast period 2025-2037. In 2025, the industry size of vertebroplasty and kyphoplasty is evaluated at USD 2.4 billion.
The vertebroplasty and kyphoplasty procedures are highly fueled by the rising elderly population and continuous incidences of osteoporosis-specific vertebral compression fractures (VCFs), which results in an increasing patient pool. According to the 2023 National Osteoporosis Foundation (NOF) report, an estimated 1.6 million osteoporotic VCFs have occurred in the U.S., which further contributes to the need for 31% to 41% of surgical intervention, thereby positively impacting the global market. Besides, the 2022 World Health Organization (WHO) report noted that approximately 210 million people worldwide readily suffer from the condition, with vertebral fractures constituting almost 27.3% of fractures.
Moreover, the market is further attributed to the presence of global trade facilities for importing and exporting medical devices and systems. For instance, the U.S. constitutes 32% of medical devices in comparison to 25% of the share in Germany, while China is considered the biggest importer of spinal surgery machinery. Additionally, in 2023, the U.S. made imported 1.2 billion surgical tools and spinal implants, mainly from Switzerland and Ireland. Besides, research, development, and deployment-based investments have increased for minimally invasive surgical procedures, with NIH providing a fund of USD 480.8 million, which denoted a rise of 12.2% every year.

Vertebroplasty and Kyphoplasty Sector: Growth Drivers and Challenges
Growth Drivers
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Reduction in healthcare expenditure: This is one of the most effective growth drivers for the vertebroplasty and kyphoplasty market, which is possible through intervention at the earliest possible stage. As per a clinical study published by AHRQ in 2022, it was demonstrated that early vertebroplasty intervention tends to reduce hospital admissions by almost 33%, leading to USD 1.3 billion in savings for the U.S. health system for approximately two years. Therefore, the study was also successful in identifying a short-term recovery timeline of 14.5 to 3.3 days in comparison to conservative management, thus driving the market growth.
- Presence of administrative reimbursement strategies: This is yet another driver that is continuously uplifting the market across every nation. For instance, in 2023, the Medicare expenditure on kyphoplasty and vertebroplasty achieved the USD 890.7 million mark, which accounted for 143,455 per procedures in 2024. Besides, domestic discrepancies-based reimbursement is 22.3% higher in urban areas when compared to rural areas. But, with the implementation of the Hospital Outpatient Prospective Payment System final rule, there has been expansion in ACS coverage, eventually enhance the procedural volumes by 9% to 13% yearly till 2027.
Historical Patient Growth Shaping the Market
The international vertebroplasty and kyphoplasty market has been undergoing modifications in terms of enlarged recompensating policies, enhanced diagnostic capabilities, and a rising aging population, all of which are reshaped by sustained patient growth. Besides, the Europe and the U.S. markets have flourished rapidly in the last ten years, with an increase in volume by 6% to 8% every year, while developing countries observed double growth owing to health awareness and accessibility. The Medicare policy in the U.S. has focused more on spinal interventions, thus initiating a 40.5% contribution for kyphoplasty procedures and amplifying the market development effectively.
2014-2024 Historical Patient Growth Data
Country |
2014 Patients (000s) |
2024 Patients (000s) |
CAGR (%) |
Key Growth Driver |
USA |
146 |
222 |
4.8% |
Medicare OPPS expansion |
Germany |
69 |
113 |
6.2% |
Early MIS adoption |
France |
43 |
76 |
7.3% |
Geriatric focus |
Spain |
29 |
52 |
7.9% |
Rising osteoporosis Dx |
Australia |
20 |
35 |
7.1% |
Private insurance uptake |
Japan |
87 |
199 |
9.4% |
Super-aging society |
India |
33 |
186 |
21.9% |
Medical tourism boom |
China |
116 |
621 |
22.5% |
Hospital infrastructure growth |
Key Feasible Models for the Vertebroplasty and Kyphoplasty Market Expansion
The future of the market highly depends on country-specific extension models in alignment with reimbursement strategies, cost sensitivity, and health and medical infrastructure. For instance, partnerships formed between government insurance schemes and local hospital centers in China and India have generated an increase in the revenue structure by 13% to 16%, which has been possible by diminishing procedural expenses. Meanwhile, the implementation of value-based procurement methods in Japan and Germany demonstrated in 01-day patient outcomes. Besides, the ASC-compatible device sales have shifted by 18.5% owing to the U.S. outpatient alteration.
Key Feasibility Models for Market Expansion
Region |
Model |
Revenue Impact (2024–2030) |
Key Driver |
USA |
ASC-focused devices |
USD 1.9 billion added revenue |
Medicare OPPS expansion |
Germany |
Outcome-based contracts |
22.2% higher ASPs |
G-BA tenders |
India |
Localized manufacturing |
37.5% cost reduction |
Make in India initiative |
China |
Tier-2/3 hospital push |
USD 620,050 additional procedures |
NHFPC 5-Year Plan |
Japan |
Robotic integration |
89.1% hospital adoption |
MHLW funding |
Challenges
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Price control by governments: This constitutes a strict action, which causes a hindrance in the uplifting the vertebroplasty and kyphoplasty market globally. For instance, the stringent and complicated pricing strategies in Europe effectively cap kyphoplasty repayment at €2,200-€2,850 per procedure, which in turn, compels manufacturers to continue with their operation at 31% to 41% low margins. Also, Medtronic partnered with TK Health Insurance and displayed a 28.7% low cost for five years in comparison to conservative management and secured 93% coverage for regional patients.
- Barriers in Medicaid coverage: This is another factor that negatively impacts the market across different regions. According to an article published by CMS in 2023, only 43.5% of overall Medicaid programs take into consideration vertebroplasty as a first-line treatment option. This eventually results in combating 1.2 million low-income VCF patients without any form of accessibility. Besides this, Stryker Corporation addressed this challenge through its Fracture Prevention Partnership program. The aim was to offer bundled payment at 22.8% below the provided commercial rates, which enhanced Medicaid acceptances by 17.5% in 2023.
Vertebroplasty and Kyphoplasty Market: Key Insights
Base Year |
2024 |
Forecast Year |
2025-2037 |
CAGR |
7.2% |
Base Year Market Size (2024) |
USD 2.2 billion |
Forecast Year Market Size (2037) |
USD 5.1 billion |
Regional Scope |
|
Vertebroplasty and Kyphoplasty Segmentation
Procedure Type (Minimally Invasive, Open Surgery)
Based on the procedure type, the minimally invasive segment is anticipated to hold the highest share of 81.8% in the vertebroplasty and kyphoplasty market by the end of 2037. The segment’s growth is highly driven by cost efficiency, reduced complications, and rapid recovery timeline, which denotes a positive impact on the overall market. According to the 2024 CMS data report, minimally invasive procedures lower the hospital stay by 3.3 days in comparison to open surgery, resulting in a USD 8,525 per patient saving for hospitalization expense. Besides, the U.S. FDA’s 2023 clearance of the newest 15 minimally invasive devices, including navigated robot-specific systems, has also escalated implementation, especially in Japan and Germany.
End User (Hospitals, Ambulatory Surgical Centers (ASCs), Specialty Clinics)
Based on end user, the hospitals segment in the vertebroplasty and kyphoplasty market is projected to hold the second-highest share of 72.6% during the forecast period. This growth is effectively attributed to established health and medical infrastructure, a rise in reimbursement rates, and complicated case handling capabilities. As stated in the 2023 MedPAC report, hospitals are responsible for performing 85.5% of spinal augmentation procedures, especially in the U.S., where Medicare’s inpatient-focused reimbursement policy initiates a payment for more than 28.8% of hospital interventions, thereby driving the segment’s development.
Indication (Osteoporotic VCFs, Spinal Tumors, Traumatic Fractures)
Based on the indication, the osteoporotic VCFs segment is expected to hold a considerable share of 67.8% in the vertebroplasty and kyphoplasty market by the end of the forecast timeline. This growth stems from different factors, such as epidemiological drivers, economic and clinical imperatives, and technological innovation. For instance, according to the 2023 NIH report, the WHO made an estimation of more than 210 million osteoporosis cases internationally, out of which 1.6 million osteoporotic VCFs tend to occur every year only in the U.S. Besides, the formulation of bioactive cement has displayed low adjacent-level fracture rates by 28.7%, thus positively driving the segment.
Our in-depth analysis of the global market includes the following segments:
Procedure Type |
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End User |
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Indication |
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Material |
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Product |
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Customize this ReportVertebroplasty and Kyphoplasty Industry - Regional Synopsis
North America Market Analysis
The North America region in the vertebroplasty and kyphoplasty market is poised to hold the largest share of 43.8% by the end of the forecast timeline. As stated in the 2023 CDC data report, the region comprises a high prevalence of osteoporosis cases, that is accounting for more than 15 million. Besides this, the region also comprises suitable and standard compensating services, such as the Medicare expansion, which has resulted in covering 90% of medical procedures for all patients. Moreover, the U.S. constitutes 91.3% of the overall regional revenue, and Canada is experiencing growth at 7.2%, both of which readily drive the market in the region.
The vertebroplasty and kyphoplasty market in the U.S. is significantly developing, since the country is highly attributed to the presence and existence of Medicare’s 2025 OPPS rule, which enhances ACS reimbursements by 12.2%. In addition, Medicaid provides coverage of 43.5% of low-income patients, thus denoting an increase from 32.7% since 2021. On the other hand, as per an article published by NIH in 2023, osteoporotic VCFs dominate the country, with an incidence of 1.6 million yearly fractures. Therefore, all factors are highly responsible for uplifting the market in the country.
The market in Canada is gaining increased traction, owing to its growth rate of 7.2%. This is effectively facilitated by Ontario’s 18.5% expenditure on spinal fractures, as stated in the 2024 CIHI data report. In addition, there is an increase in the adoption rate of bioactive cement by 22.8%, along with an increase in robot-based procedures by 35.6%, especially in Alberta. Furthermore, the provision of federal funding for the screening of osteoporosis has gained expansion to cover almost 1.3 million senior patients, thereby suitable for market development in the country.
Europe Regional Market Size & Growth
The Europe region in the vertebroplasty and kyphoplasty market is expected to hold a share of 30.2% by the end of the forecast period. This regional upliftment is attributed to the presence and availability of value-based procurement policies, as well as a rise in the elderly population. Countries such as Germany is leading with 35.7% of the regional revenue, and France accounts for 22.5%. The region constitutes the 2023 EU Medical Device Regulation (MDR), which has upsurged the robot-assisted systems and devices, and are currently utilized in 46% of domestic hospitals.
The market in Germany is undergoing effective development, fueled by cutting-edge robotic systems adoption, and value-specific reimbursement strategies. The existence of the G-BA’s outcome-based pricing policy initiates a payment of €4,550 for each robot-assisted kyphoplasty, which is 28.7% more than traditional procedures, further facilitating a 65.5% adoption rate in hospital settings. Besides, the Federal Ministry of Health has invested €121 million through the Spine Innovation Fund program in 2023, which has accelerated artificial-based navigation tools, thereby creating a prolific opportunity for market expansion in the country.
There is a huge opportunity for the vertebroplasty and kyphoplasty market in France, due to the acceptance of bioactive cements by HAS in 2024, which deliberately covers 93% of patients and also reduces adjust fractures by 19.5%. As per the 2024 Ministry of Health data report, the provision of €1.5 billion for spinal interventions constitutes almost 7.5% of the overall domestic health budget and tends to support 25.7% of yearly growth in minimally invasive processes. Besides, the Paris-Saclay’s MedTech hub has successfully attracted €310 million, pertaining to research and developmental activities for spine robotics, thus denoting a positive impact of the market in the country.

Competitive Landscape & Strategic Initiatives
- Company Overview
- Business Strategy
- Key Product Offerings
- Financial Performance
- Key Performance Indicators
- Risk Analysis
- Recent Development
- Regional Presence
- SWOT Analysis
The market comprises leading organizations and manufacturers such as Stryker Corporation, Johnson & Johnson, and Medtronic, all of which have accounted for a total of 56% in the global revenue structure. Besides this, leading organizations have undertaken certain strategies to increase their market presence. These include artificial intelligence integration, reduction in price policies, implementing bioactive materials, utilizing localized production and manufacturing procedures, and following regulatory agility to ensure smooth approval of products and services for effective market upliftment.
Here is a list of key players operating in the global market:
Company Name (Country) |
Industry Focus |
Market Share (2024) |
Johnson & Johnson (U.S.) |
Bioactive cements (Synthes VBS), trauma implants |
18.7% |
Stryker (U.S.) |
Balloon kyphoplasty (Tritanium), ASC-focused kits |
15.3% |
Globus Medical (U.S.) |
Robot-assisted systems (ExcelsiusGPS) |
9.1% |
Zimmer Biomet (U.S.) |
PMMA cements, minimally invasive solutions |
7.2% |
NuVasive (U.S.) |
3D-printed implants (Porous PEEK) |
xx% |
Smith+Nephew (UK) |
Bone graft substitutes |
xx% |
B. Braun (Germany) |
Cement delivery systems (Certus) |
xx% |
Orthofix (U.S.) |
Calcium phosphate cements |
xx% |
Alphatec (U.S.) |
Outpatient-focused devices |
xx% |
L&K Biomed (South Korea) |
Low-cost PMMA alternatives |
xx% |
Osseon (U.S.) |
Cement injectors (Osseoflex) |
xx% |
G21 S.r.l. (Italy) |
Vertebral augmentation kits |
xx% |
Spineart (Switzerland) |
Bioactive implants (FILLET) |
xx% |
TaeWoong Medical (South Korea) |
Disposable kyphoplasty kits |
xx% |
Medtronic (Ireland) |
Robotics (Mazor X), AI-guided kyphoplasty systems (StealthStation) |
22.2% |
Below are the areas covered for each company under the top 20 global manufacturers:
In the News
- In March 2024, Medtronic plc announced the U.S. FDA acceptance for its Mazor X Stealth Edition robotic system, which has the capability to enhance precision in kyphoplasty with AI-driven 3D planning.
- In February 2024, Johnson & Johnson introduced the Synthes VBS bioactive cement in Europe after receiving the CE mark approval. The purpose of this bioactive cement is to diminish adjacent fractures by 19.1%.
Author Credits: Radhika Pawar
- Report ID: 7690
- Published Date: May 20, 2025
- Report Format: PDF, PPT