Intraoperative
neuromonitoring also called as intraoperative neurophysiological
monitoring (IOM), is an integral part of surgical procedures that use
electrophysiological techniques such as electromyography (EMG),
Electroencephalography (EEG), and evoked potentials to monitor the
integrity of the neural structures during various surgical
procedures. These neural structures include neurons, spinal cord, and
several parts of the brain. The IONM helps in the risk reduction from
the iatrogenic damage to the nervous system during the surgical
procedures by surgeons and anesthesiologists. The intraoperative
neuromonitoring techniques help to reduce the mortality and morbidity
levels to a significant rate without the new addition of risks.
Therefore, intraoperative neuromonitoring techniques have helped to
reduce the postoperative complications in a number of surgical
procedures.
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Market
Dynamics
The
high risk to nervous system associated with surgeries increases
demand for intraoperative neuromonitoring, which is major factor
driving growth of the global intraoperative neuromonitoring market.
According to the National Centre for Biotechnology Information (NCBI)
2014, iatrogenic nerve injuries accounted for 17.4% of the total
traumatic nerve injuries. Moreover, according to World Health
Organization (WHO) factsheet of 2015, around 80% disorders in the
disabling conditions are neurological. The favorable reimbursement
scenario is also responsible to fuel the market growth. However, lack
of skilled professionals to operate these systems and lack of
awareness regarding neuromonitoring facilities in emerging countries
are some factors that are responsible to restrain the growth of the
global intraoperative neuromonitoring market.
The
global intraoperative neuromonitoring market was valued at US$
2,632.4 million in 2016 and is expected to witness a robust CAGR of
6.53% over the forecast period (2017 - 2025).
Increasing
number of surgical failure leading to iatrogenic damage is one of the
prominent factor responsible for the growth of intraoperative
neuromonitoring market. For instance, according to a research survey
published by Laser Spine Institute LLC 2015, an estimated 400,000
people undergo a spinal surgery in the U.S. annually and 30-40% of
patients were reported to be suffering from post-operative
complications. Moreover, according to The American Laryngological,
Rhinological and Otological Society 2013, an estimated 6% of the
cases undergoing facial nerve injury suffered from iatrogenic facial
nerve injury due to lack of care during surgical procedures.
North
America was the leading region in global intraoperative
neuromonitoring market in 2016, owing to the favoring reimbursement
scenario in the region and rising adoptions of IONM in surgical
department. For instance, Medicare built CPT codes and reimbursement
policies regarding to the use of intraoperative neuromonitoring as a
part of revised CPT codes and guidelines released in 2017. Another
factor boosting growth of the market is the increasing cases in the
number of spinal cord surgeries in North America. For instance,
according to Pennsylvania Health Care Cost Containment Council,
Statewide Statistics and Key Findings 2014, around 21,293 adults
underwent spinal fusion surgery in 2014 witnessing a rise of 67.2%
since 2004 in the U.S. The same source states that that 3.3% people
who underwent spinal fusion in Pennsylvania experienced surgical
complication during the fusion process.
Market
players are adopting inorganic growth strategies to maintain leading
position in the global intraoperative neuromonitoring market
Key
players operating the global intraoperative neuromonitoring market
include Accurate Monitoring, Inomed Medizintechnik GmbH,
Neuromonitoring Technologies, Natus Medical Incorporated, Medtronic,
Biotronic NeuroNetwork, NuVasive Inc., Sentient Medical Systems, and
SpecialityCare.
Detailed
Segmentation:
Global
Intraoperative Neuromonitoring Market, By Modality:
-
Sub-Sensory Evoked Potentials
-
Motor-Sensory Evoked Potentials
-
Brainstem Auditory Evoked Potentials
-
Visual Evoked Potentials
-
Somatosensory Evoked Potentials
-
Mapping of Motor Cortex
Global
Intraoperative Neuromonitoring Market, By Source Type:
-
Insourced Monitoring
-
Outsourced Monitoring
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