Home / Medical Devices / Spinal Implants And Surgical Devices Market By Product (Thoracic Fusion And Lumbar Fusion Devices, Cervical Fusion Devices, Non-Fusion Devices, Spine Bone Stimulators, Spinal Decompression Devices), By Technology (Spinal Fusion And Fixation Technologies, Motion Preservation/Non-Fusion Technologies, Spinal Decompression), By Usage Area (Hospitals, Ambulatory Centers, Private Clinics) - Growth, Future Prospects And Competitive Analysis, 2017 - 2025

Spinal Implants And Surgical Devices Market By Product (Thoracic Fusion And Lumbar Fusion Devices, Cervical Fusion Devices, Non-Fusion Devices, Spine Bone Stimulators, Spinal Decompression Devices), By Technology (Spinal Fusion And Fixation Technologies, Motion Preservation/Non-Fusion Technologies, Spinal Decompression), By Usage Area (Hospitals, Ambulatory Centers, Private Clinics) - Growth, Future Prospects And Competitive Analysis, 2017 - 2025

Published: Jan 2018 | Report Code: 58931-01-18

The spine is basically balanced for ideal flexibility and to support body weight. At the point when seen from inside, with three delicate bends. The cervical (spine in the neck) additionally has a lordosis. The lumbar spine has an inner bend called lordosis. The thoracic spine has an outer bend called kyphosis. These bends work in amicability to put the body’s focal point of gravity adjusted over the pelvis and hips. At the point when seen from back, the usual spine is straight.

Irregular arch in spine can put it out of position. Anomalous shape seen from the sideways is called sagittal irregularity. Sorts of sagittal imbalance incorporate chin-on-chest syndrome, kyphosis, and flat back syndrome. Anomalous shape and flow of the spine viewed from the back is called scoliosis. According to the WHO, annually from 250,000 to 500,000 individuals suffer from spinal cord injury (SCI) across the globe. The larger part of spine injuries are because of preventable causes, for example, accidents, brutality or falls. Individuals with spine related injury are between two and five times further inclined to die earlier than individuals not having a spinal cord damage, with worse existence rates in middle and low wage countries.

According to the WHO, there are no well-founded estimates of universal prevalence, but projected yearly worldwide incidence is in between 40 and 80 cases per million populace. Around 90% from spine injury cases are from traumatic causes, however the extent of non-traumatic spine injuries seems, by all accounts, to be increasing. Technological advancement and improved treatment accessibility for spine injuries, and rapid growth in the incidence of spine cases will augment the acceptance of spinal implants and use of surgical devices for the perfect treatment; which will enhance the growth of spinal implants and surgical devices market in the upcoming time.

The purpose of this research study titled ‘Spinal Implants and Surgical Devices  Market - Growth, Future Prospects, and Competitive Analysis, 2017 – 2025’ is to presents stockholders, manufactures, business officials and industry contributors with detailed exploration to permit them to take tactical initiatives and resolutions associated to the predictions in the global spinal implants and surgical devices market. This report offers and evaluates the major scenarios prominent in the worldwide spinal implants and surgical devices market and the market size and prediction.

This report classifies the worldwide spinal implants and surgical devices market in terms of products, usage areas, technology and geographical distribution. Based on products types, the global spinal implants and surgical devices market is classified into vertebral compression fracture treatment devices, lumbar fusion and thoracic fusion devices, spinal decompression devices, spine bone stimulators, non-fusion devices, cervical fusion devices; further based on technology, the market is divided into motion preservation or non-fusion technologies, spinal decompression, spinal fusion and fixation technologies, spinal fusion and fixation technologies, and vertebral compression fracture treatment. The usage areas considered for the purpose of this study are ambulatory centers, private clinics, and hospitals. Market size and forecast for every cited division for the period 2015-2025 is offered in the report alongside with particular CAGRs for the forecast period 2017-2025.

This report comprises divisions accompanied by foremost countries, which are introduced as follows:

  • Europe
    • Germany
    • France
    • United Kingdom
    • Italy
    • Spain
    • Rest of Europe
  • North America
    • Canada       
    • United States
  • Asia Pacific
    • Japan
    • China
    • India
    • Rest of Asia Pacific
  • Middle East and Africa
    • GCC
    • Rest of Middle East & Africa
  • Latin America
    • Brazil
    • Mexico
    • Rest of Latin America

This study covers a comprehensive portrayal of the above-specified market sections for the duration of 2015-2025 along with the particular market assessment for the specific countries in their area-wise sections.

A comprehensive exploration of market scenarios has been cited in the report to catch appropriate understanding of the market and the linked trends. Several tools are used in the report to determine the competition among chief market players. The study also comprises of company profiling of the companies which have a grip in the global market for spinal implants and surgical devices market. Some of the key players in the global spinal implants and surgical devices market are listed: Alphatec Holdings, Inc., Zimmer Biomet, Stryker Corporation, RTI Surgical, Inc., Pioneer Surgical Technology, Orthofix International N.V., NuVasive, Inc., Medtronic plc., K2M Group Holdings, Inc., Integra Lifesciences, Globus Medical, Inc., Exactech, Inc., DePuy Synthes and more.

Chapter 1. Preface
1.1. Report Scope and Description
1.2. Research Methodology
1.2.1. Phase I-Secondary Research
1.2.2. Phase II-Primary Research
1.2.3. Phase III-Expert Panel Review
1.2.4. Assumptions
1.2.5. Approach Adopted

Chapter 2. Executive Summary
2.1. Global Spinal Implants and Surgical Devices Market Portraiture
2.1.1. Global Spinal Implants and Surgical Devices Market, by Product, 2016 (US$ Bn)
2.1.2. Global Spinal Implants and Surgical Devices Market, by Technology, 2016 (US$ Bn)
2.1.3. Global Spinal Implants and Surgical Devices Market, by Usage Area, 2016 (US$ Bn)
2.1.4. Global Spinal Implants and Surgical Devices Market, by Geography, 2016 (US$ Bn)

Chapter 3. Spinal Implants and Surgical Devices : Market Dynamics and Outlook
3.1. Market Definition and Overview
3.2. Drivers
3.3. Challenges
3.4. Opportunities
3.5. Attractive Investment Proposition, by Geography, 2016
3.6. Value Chain Analysis
3.7. Porter’s Five Forces Model
3.8. Competitive Landscape
3.8.1. Competitive Landscape, by Key Players, 2016

Chapter 4. Global Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
4.1. Overview
4.2. Attractive Investment Proposition, by Product, 2016
4.3. Thoracic Fusion and Lumbar Fusion Devices
4.4. Cervical Fusion Devices
4.5. Vertebral Compression Fracture Treatment Devices
4.6. Non-fusion Devices
4.7. Spine Bone Stimulators
4.8. Spinal Decompression Devices

Chapter 5. Global Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
5.1. Overview
5.2. Attractive Investment Proposition, by Product, 2016
5.3. Spinal Fusion and Fixation Technologies
5.4. Vertebral Compression Fracture Treatment
5.5. Motion Preservation/Non-fusion Technologies
5.6. Spinal Decompression

Chapter 6. Global Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
6.1. Overview
6.2. Comparative Analysis, by Usage Area, 2016 Vs 2025 (Value %)
6.3. Hospitals
6.4. Ambulatory Centers
6.5. Private Clinics

Chapter 7. Global Spinal Implants and Surgical Devices Market, by Geography, 2015 – 2025 (US$ Bn)
7.1. Overview
7.2. North America Spinal Implants and Surgical Devices Market Analysis, 2015 – 2025
7.2.1. North America Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
7.2.2. North America Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
7.2.3. North America Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
7.2.4. North America Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
7.2.4.1. U.S.
7.2.4.2. Canada
7.3. Europe Spinal Implants and Surgical Devices Market Analysis, 2015 – 2025
7.3.1. Europe Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
7.3.2. Europe Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
7.3.3. Europe Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
7.3.4. Europe Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
7.3.4.1. U.K.
7.3.4.2. Germany
7.3.4.3. France
7.3.4.4. Spain
7.3.4.5. Italy
7.3.4.6. Rest of Europe
7.4. Asia Pacific Spinal Implants and Surgical Devices Market Analysis, 2015 – 2025
7.4.1. Asia Pacific Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
7.4.2. Asia Pacific Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
7.4.3. Asia Pacific Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
7.4.4. Asia Pacific Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
7.4.4.1. China
7.4.4.2. Japan
7.4.4.3. India
7.4.4.4. Rest of APAC
7.5. Latin America Spinal Implants and Surgical Devices Market Analysis, 2015 – 2025
7.5.1. Latin America Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
7.5.2. Latin America Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
7.5.3. Latin America Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
7.5.4. Latin America Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
7.5.4.1. Brazil
7.5.4.2. Mexico
7.5.4.3. Rest of Latin America
7.6. Middle East & Africa (MEA) Spinal Implants and Surgical Devices Market Analysis, 2015 – 2025
7.6.1. MEA Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
7.6.2. MEA Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
7.6.3. MEA Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
7.6.4. MEA Spinal Implants and Surgical Devices Market, by Region, 2015 – 2025 (US$ Bn)
7.6.4.1. GCC
7.6.4.2. Rest of MEA

Chapter 8. Company Profiles
8.1. Alphatec Holdings, Inc.
8.1.1. Business Description
8.1.2. Financial Information (Subject to data availability)
8.1.3. Product Portfolio
8.1.4. Key Developments
8.2. DePuy Synthes
8.3. Exactech, Inc.
8.4. Globus Medical, Inc.
8.5. Integra Lifesciences
8.6. K2M Group Holdings, Inc.
8.7. Medtronic plc.
8.8. NuVasive, Inc.
8.9. Orthofix International N.V.
8.10. Pioneer Surgical Technology
8.11. RTI Surgical, Inc.
8.12. Stryker Corporation
8.13. Zimmer Biomet Holdings Inc.

List of Tables :

TABLE 1 Global Spinal Implants and Surgical Devices Market Portraiture
TABLE 2 Global Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
TABLE 3 Global Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
TABLE 4 Global Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
TABLE 5 North America Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
TABLE 6 North America Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
TABLE 7 North America Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
TABLE 8 North America Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
TABLE 9 Europe Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
TABLE 10 Europe Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
TABLE 11 Europe Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
TABLE 12 Europe Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
TABLE 13 Asia Pacific Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
TABLE 14 Asia Pacific Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
TABLE 15 Asia Pacific Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
TABLE 16 Asia Pacific Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
TABLE 17 Latin America Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
TABLE 18 Latin America Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
TABLE 19 Latin America Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
TABLE 20 Latin America Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
TABLE 21 Middle East and Africa Spinal Implants and Surgical Devices Market, by Product, 2015 – 2025 (US$ Bn)
TABLE 22 Middle East and Africa Spinal Implants and Surgical Devices Market, by Technology, 2015 – 2025 (US$ Bn)
TABLE 23 Middle East and Africa Spinal Implants and Surgical Devices Market, by Usage Area, 2015 – 2025 (US$ Bn)
TABLE 24 Middle East and Africa Spinal Implants and Surgical Devices Market, by Country, 2015 – 2025 (US$ Bn)
TABLE 25 Alphatec Holdings, Inc.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 26 DePuy Synthes: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 27 Exactech, Inc.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 28 Globus Medical, Inc.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 29 Integra Lifesciences: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 30 K2M Group Holdings, Inc.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 31 Medtronic plc.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 32 NuVasive, Inc.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 33 Orthofix International N.V.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 34 Pioneer Surgical Technology: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 35 RTI Surgical, Inc.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 36 Stryker Corporation: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)
TABLE 37 Zimmer Biomet Holdings Inc.: Company Snapshot (Business Description; Financial Information; Product Portfolio; News Coverage)

List of Figures :

FIG. 1 Spinal Implants and Surgical Devices: Market Segmentation
FIG. 2 Global Spinal Implants and Surgical Devices Market, by Product, 2016 (US$ Bn)
FIG. 3 Global Spinal Implants and Surgical Devices Market, by Technology, 2016 (US$ Bn)
FIG. 4 Global Spinal Implants and Surgical Devices Market, by Usage Area, 2016 (US$ Bn)
FIG. 5 Global Spinal Implants and Surgical Devices Market, by Geography, 2016 (Value %)
FIG. 6 Attractive Investment Proposition, by Geography
FIG. 7 Market Competition Landscape, by Key Players, 2016
FIG. 8 Global Thoracic Fusion and Lumbar Fusion Devices Market, 2015 – 2025 (US$ Bn)
FIG. 9 Global Cervical Fusion Devices Market, 2015 – 2025 (US$ Bn)
FIG. 10 Global Vertebral Compression Fracture Treatment Devices Market, 2015 – 2025 (US$ Bn)
FIG. 11 Global Non-fusion Devices Market, 2015 – 2025 (US$ Bn)
FIG. 12 Global Spine Bone Stimulators Market, 2015 – 2025 (US$ Bn)
FIG. 13 Global Spinal Decompression Devices Market, 2015 – 2025 (US$ Bn)
FIG. 14 Global Spinal Fusion and Fixation Technologies Market, 2015 – 2025 (US$ Bn)
FIG. 15 Global Vertebral Compression Fracture Treatment Market, 2015 – 2025 (US$ Bn)
FIG. 16 Global Motion Preservation/Non-fusion Technologies Market, 2015 – 2025 (US$ Bn)
FIG. 17 Global Spinal Decompression Market, 2015 – 2025 (US$ Bn)
FIG. 18 Global Spinal Implants and Surgical Devices in Hospitals Market, 2015 – 2025 (US$ Bn)
FIG. 19 Global Spinal Implants and Surgical Devices in Ambulatory Centers Market, 2015 – 2025 (US$ Bn)
FIG. 20 Global Spinal Implants and Surgical Devices in Private Clinics Market, 2015 – 2025 (US$ Bn)
FIG. 21 U.S. Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 22 Canada Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 23 U.K. Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 24 Germany Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 25 France Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 26 Spain Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 27 Italy Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 28 Rest of Europe Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 29 Japan Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 30 China Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 31 India Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 32 Rest of Asia Pacific Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 33 Brazil Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 34 Mexico Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 35 Rest of Latin America Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 36 GCC Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)
FIG. 37 Rest of Middle East and Africa Spinal Implants and Surgical Devices Market, 2015 – 2025 (US$ Bn)

For the purpose of this study, the global spinal implants and surgical devices market is studied for their types of product in following areas:

  • Cervical Fusion Devices
  • Thoracic Fusion and Lumbar Fusion Devices
  • Vertebral Compression Fracture Treatment Devices
  • Spine Bone Stimulators
  • Non-fusion Devices
  • Spinal Decompression Devices

Spinal Implants And Surgical Devices Market

Cumulative incidences of spinal irregularities, and growing demand for minimally invasive surgeries is expected to drive the spinal implants and surgery devices market. Most of the spinal disorders do not require surgical intervention, but sometimes they cannot be eluded. In such situations, specially made spinal tools are utilized to correct irregularities, reinforce and stabilize the spine and ease combination. Many spinal grafts are usually prepared from metals such as titanium alloy or stainless steel, while certain are made of non-metallic compounds. The market will have a modest development rate mainly due to surge in geriatric populace together with the patients suffering from back problem, amplified consciousness resulting in acceptance of novel and enhanced technologies by specialists and patients.

According to the WHO, the mortality risk is maximum at starting after injury and remains high matched to the common populace. The mortality risk rises with the severity of injury and is strongly influenced by provision of good medical care. An increase in demand for non-invasive procedures is heightening the growth of spinal implants and surgical devices market. Rapid evolution of healthcare sector and advancement in technology are also some of the selected drivers for the rise of this market.

For the purpose of this study, the global spinal implants and surgical devices market is studied for the following technologies:

  • Vertebral Compression Fracture Treatment
  • Spinal Fusion and Fixation Technologies
  • Non-fusion Technologies /Motion Preservation
  • Spinal Decompression

Spinal Implants And Surgical Devices Market

The spinal system is altering the way solitary and dual level fusions are done in ambulatory centers and hospitals around the globe. Ground-breaking novel technology in implant and a greater approach to all sterile solitary use equipment offers a better resolution for one and all. Assistive technology is often required to facilitate mobility. Spinal implants and surgical devices are classified into various segments on the application basis, such as non-fusion technologies/motion preservation, spinal decompression, vertebral compression fracture treatment, and spinal fusion and fixation technologies.

Rising incidence of spine injury patients, which is associated with a secondary risk of conditions that can be severe and having significant risk of life, for example urinary tract infection, deep vein thrombosis, osteoporosis and more, have led to growth in number of spinal surgeries. Also the expansion in geriatric population pool around the globe and the rise in number of minimally invasive surgeries are amplifying the market of spinal implants and surgical devices.

For the purpose of this study, global spinal implants and surgical devices market is studied for their application in following usage areas:

  • Hospitals
  • Ambulatory Centers
  • Private Clinics

Spinal Implants And Surgical Devices Market

Among the considered usage areas, spinal implants and surgical devices enjoy the largest application in hospitals followed by ambulatory centers. Higher affordability of hospitals in terms of purchase of spinal implants and surgical devices, greater handling skills and higher cost to benefit ratio due to better patient footfall are the foremost factors driving the acceptance of spinal implants and surgical devices in hospitals. It is further anticipated that due to growing preference of patients for approaching specialized private clinics for needs owing to faster turnaround times and improved treatment outcomes, the demand for spinal implants and surgical devices from private clinics will be higher during the forecast period. Therefore it is predictable that the growth of private clinics section will be greater than the global benchmark during the forecast period.

Geographically, the global spinal implants and surgical devices market is composed of Latin America, Middle East & Africa, Europe, Asia Pacific, and North America.

Spinal Implants And Surgical Devices Market

North America holds the prime share in global spinal implants and surgical devices market trailed by Asia Pacific, attributable to major reasons such as high spine related problems, sport injuries, high rate of accidents in North America and rising incidence of injuries related patients will augment the spinal implants and surgical devices market in the upcoming time.

Need of secure and non-invasive spine surgeries is expected to grow in the upcoming time. In the course of forecast duration 2017 – 2025, Asia Pacific is observed as the fastest growing region due to key driving factors such as rising incidence of spine injuries in developing countries, growing awareness related with early treatment, evolving healthcare expenditure, and intensifying demand for the non-invasive procedure.

The geographical classification of the global spinal implants and surgical devices market is as follows:

  • Asia Pacific (Japan, India, China, and Rest of Asia Pacific)
  • North America (Canada & United States)
  • Middle East and Africa (GCC and Rest of Middle East and Africa)
  • Europe (France, Italy, Germany, U.K., Spain, and Rest of Europe)
  • Latin America (Mexico, Brazil, and Rest of Latin America)
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