The orthopedic implant industry doesn't have a single, agreed-upon ranking. Depending on the source, "top" might mean total revenue, market share in a specific product category, number of countries served, or manufacturing scale. Two years of major consolidation — Globus Medical's merger with NuVasi
Most spine distributors don't start with a portfolio strategy. They start with one relationship — a supplier who had a good pedicle screw system, or a cage line that a founding surgeon liked — and the catalog grows from there, one product conversation at a time. That works for a while. It stops work
Distributors comparing interbody cage suppliers tend to look at PEEK grade and price per unit, then assume the rest is roughly interchangeable. It isn't. A TLIF or PLIF cage is a small, geometrically complex device that has to get several things right at once — footprint, height, lordotic angle, end
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