Issue link: https://beckershealthcare.uberflip.com/i/1089830
29 DEVICES & IMPLANTS New total cervical disc replacement design improves outcomes: 6 things to know By Shayna Korol T otal cervical disc replacement performed using Centinel Spine's ProDisc Vivo signifi- cantly improved clinical outcomes, according to a study in Spine. Six things to know: 1. Previous generations of the Pro- Disc artificial cervical disc replace- ment generated high primary sta- bility due to keel-based designs with opening of the anterior cortex during implantation, leading to high rates of heterotopic ossifications. 2. The study comprised 55 patients who received a single-level treat- ment with the ProDisc Vivo cTDR between C3/4 and C6/7, with a two- year follow-up rate of 78 percent. 3. Clinical outcome scores, includ- ing the Neck Disability Index, Vi- sual Analogue Scale and arm and neck pain self-assessment ques- tionnaires, improved significantly. 4. The range of motion of the in- dex-segment did not significantly change. 5. The study authors observed three implant-related complications, with two implant dislocations anteriorly and one low-grade infection. 6. The ProDisc Vivo cTDR's less inva- sive implantation mechanism with lower primary stability may account for a higher dislocation rate than the keel-based previous ProDisc C gener- ation, the study authors concluded. n Top 10 orthopedic companies by market share — And where they'll be in 2024 By Laura Dryda S tatista ranked the 10 orthopedic com- panies with the largest market share in 2017, based on revenue. e company also projected market share through 2024. e company's survey closed in September 2018. Johnson & Johnson maintains a significant lead on market share; however, Zimmer Biomet and Stryker are closing the gap. 1. Johnson & Johnson had 21.8 percent market share in 2017 and is expected to have 24.2 per- cent in 2024. 2. Zimmer Biomet had 18.8 percent market share in 2017 and is expected to have 20.3 per- cent in 2024. 3. Stryker had 18 percent market share in 2017 and is expected to have 16.3 percent in 2024. 4. Medtronic had 8 percent market share in 2017 and is expected to have 8.3 percent in 2024. 5. Arthrex had 6 percent market share in 2017 and is expected to have the same, 5.8 percent, in 2024. 6. Smith & Nephew had 5.4 percent market share in 2017 and is expected to have 5.7 per- cent in 2024. 7. Wright Medical Group had 3 percent market share in 2017 and is expected to have 2 percent in 2024. 8. NuVasive had 2.3 percent market share in 2017 and is expected to have 1.7 percent in 2024. 9. Globus Medical had 2.3 percent market share in 2017 and is expected to have 2 percent in 2024. 10. Orthofix had 1.3 percent market share in 2017 and is expected to have 1.2 percent in 2024. n SI-Bone jumps into 3D-printing with new partnership: 3 things to know By Laura Dyrda SI-Bone signed an agreement with PrinterPrezz to develop and build ser- vices for potential future 3D-printed implants. Three things to know: 1. SI-Bone pioneered the minimally invasive sacroiliac joint fusion implant, iFuse Implant System. Under the agreement, PrinterPrezz will work with the company to develop additional 3D-printed solutions. "Our surgeons are asking for more metal 3D-printed medical solutions to help their patients and we continue to push forward our R&D to deliver solutions for those who can benefit from surgical treatment of SI disor- ders," said SI-Bone Chief Technology Officer Scott Yerby. 2. PrinterPrezz has a location in the Bay Area, near SI-Bone's Fremont, Ca- lif.-based headquarters, so the companies can work closely together and drive fast turnarounds. "This allows us to test prototypes more quickly and iterate using 3D-printed models in pursuit of better patient outcomes," said Mr. Yerby. 3. PrinterPrezz will leverage its team of clinicians and engineers as well as 3D printers, manipulation software and scanners to help bring the partner- ship's devices to the market quickly. "We're working closely with SI-Bone to accelerate groundbreaking devel- opment of high-performance devices to meet the demands of this large and underserved market," said PrinterPrezz CEO Shri Shetty. n