+41 % change
Extra-EU imports of CN 90213990 were up 41% in 2025 compared with 2020 (€1.88 billion), calculated from Eurostat values.
Eurostat2.68 EUR billion
EU exports of CN 90213990 to countries outside the EU were worth €2.68 billion in 2025.
Eurostat4.72 EUR billion
Trade between EU member states in CN 90213990 (intra-EU arrivals) came to €4.72 billion in 2025.
EurostatSource: Eurostat
Why this market is moving now
- Extra-EU import value moved +41% from 2020 to 2025, a direct read on EU demand for sourced supply.
- Supply is concentrated: one country provided a large share of extra-EU imports in 2025.
- US employment in the core industry shifted +3% since 2020.
What this market covers
Implants that replace a damaged disc in the neck while keeping the spine moving, as an option to fusion surgery. Used in spine surgery for disc disease.
Typical segments
- Metal on polymer discs
- Metal on metal discs
- Ceramic discs
- Single level and multi level implants
Who buys
- Hospitals
- Spine surgeons
- Ambulatory surgery centres
Largest non-EU suppliers to the EU
| Country | Import value |
|---|---|
| United States from 1995 -> 2000) | 1,337.0 EUR million |
| Costa Rica | 442.6 EUR million |
| Singapore | 327.7 EUR million |
| Mexico | 136.8 EUR million |
| United Kingdom | 122.5 EUR million |
| Iceland | 59.7 EUR million |
Key figures
Each figure links to the page it came from.
| Figure | Value | Year | Source |
|---|---|---|---|
| The EU imported €2.66 billion of products under CN code 90213990 (Artificial parts of the body) from outside the EU in 2025. | 2.66 EUR billion | 2025 | Eurostat |
| Extra-EU imports of CN 90213990 were up 41% in 2025 compared with 2020 (€1.88 billion), calculated from Eurostat values. | +41 % change | 2025 | Eurostat |
| EU exports of CN 90213990 to countries outside the EU were worth €2.68 billion in 2025. | 2.68 EUR billion | 2025 | Eurostat |
| Trade between EU member states in CN 90213990 (intra-EU arrivals) came to €4.72 billion in 2025. | 4.72 EUR billion | 2025 | Eurostat |
| United States from 1995 -> 2000) was the largest non-EU supplier of CN 90213990 to the EU in 2025, with €1.34 billion, or 50% of extra-EU imports. | 1.34 EUR billion | 2025 | Eurostat |
| EU exports of CN 90213990 to the United States were €256.7 million in 2025. | 256.7 EUR million | 2025 | Eurostat |
| The average value of extra-EU imports of CN 90213990 was €1,415.08 per kilogram in 2025, calculated from Eurostat value and weight. | 1,415.08 EUR per kg | 2025 | Eurostat |
| Netherlands was the largest EU exporter of CN 90213990 to non-EU countries in 2025, at €1.53 billion. | 1.53 EUR billion | 2025 | Eurostat |
| The EU had 63,227 enterprises in NACE class C3250 (Manufacture of medical and dental instruments and supplies) in 2023. | 63,227 enterprises | 2023 | Eurostat |
| EU enterprises in NACE class C3250 had net turnover of €105.31 billion in 2021. | 105.31 EUR billion | 2021 | Eurostat |
| NACE class C3250 employed 600,000 people across the EU in 2023. | 600,000 persons employed | 2023 | Eurostat |
| The US had 3,528 private establishments in NAICS 339113 (Surgical appliance and supplies manufacturing) in 2025. | 3,528 establishments | 2025 | U.S. Bureau of Labor Statistics |
| NAICS 339113 employed an average of 105,116 people in US private industry in 2025. | 105,116 jobs | 2025 | U.S. Bureau of Labor Statistics |
| US employment in NAICS 339113 changed by +3% between 2020 (102,053 jobs) and 2025, calculated from BLS figures. | +3 % change | 2025 | U.S. Bureau of Labor Statistics |
| Average annual pay in US NAICS 339113 was $102,311 in 2025. | 102,311 USD per year | 2025 | U.S. Bureau of Labor Statistics |
What the full report covers
- 1
Executive summary
The answer on two pages: size, growth and what drives it.
- 2
Market size and outlook
History, the current year and a five-year view with base, low and high cases.
- 3
Segments and regions
Splits by product, buyer and geography across the US, Europe and MEA.
- 4
Company profiles
The main players, how they compete and where they are investing.
- 5
Data and method
Every figure in Excel, with the sources and assumptions behind it.
- 01Executive summary
The answer in one page: size, direction and what moves it - 02Market definition and scope
What is in and out of the European Union market - 03Market size, 2021 to 2025
Historical series and growth rates - 04Outlook to 2031
Base, low and high scenarios with stated assumptions - 05Rules, policy and deadlines
Regulation and programmes that change demand - 06Drivers and barriers
What accelerates or slows adoption, by customer segment - 07Prices, costs and margins
Unit economics where public data allows - 08Competitive landscape
8 to 12 company profiles with recent moves - 09Opportunities and risks
For new entrants, suppliers and investors - 10Method and sources
Every assumption and source, listed
Included with the full report
- PDF report, 40 to 60 pages
- Excel data pack
- Ready-to-use charts
- Method note and assumptions
- Written to order in 5 working days
Frequently asked questions
How big is the EU cervical total disc replacement market?
There is no single official market total. Eurostat trade data shows the EU imported €2.66 billion of goods under CN 90213990 from outside the EU in 2025 and exported €2.68 billion.
Where does the EU import cervical total disc replacement from?
United States from 1995 -> 2000) was the largest non-EU supplier in 2025. The next largest were Costa Rica, Singapore, Mexico.
What is the average import price of cervical total disc replacement in the EU?
Dividing Eurostat import value by weight gives about €1,415.08 per kilogram for CN 90213990 in 2025.
Which EU countries export the most cervical total disc replacement?
Netherlands led EU exports to non-EU countries in 2025, followed by Belgium, Germany.
How many US companies are in the cervical total disc replacement industry?
BLS counts 3,528 private establishments in NAICS 339113 (Surgical appliance and supplies manufacturing), the closest official industry.
How many EU companies are in the cervical total disc replacement industry?
Eurostat counts 63,227 enterprises in NACE class C3250 (Manufacture of medical and dental instruments and supplies).
Sources and method
The figures on this page come from the public sources listed below. Read how we work.
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner EXT_EU27_2020, flow import, 2025, VALUE_IN_EUROS 2655121343
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, flow import, 2020 VALUE_IN_EUROS 1881881178; 2025 VALUE_IN_EUROS 2655121343
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner EXT_EU27_2020, flow export, 2025, VALUE_IN_EUROS 2681653104
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner INT_EU27_2020, flow import, 2025, VALUE_IN_EUROS 4723712522
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner US, flow import, 2025, VALUE_IN_EUROS 1337005786
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, partner US, flow export, 2025, VALUE_IN_EUROS 256698104
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter EU27_2020, product 90213990, flow import, 2025, VALUE_IN_EUROS 2655121343, QUANTITY_IN_100KG 18763
- Eurostat: EU trade since 1988 by HS2-4-6 and CN8 (DS-045409) (2026-11-04)
DS-045409, reporter NL, product 90213990, partner EXT_EU27_2020, flow export, 2025, VALUE_IN_EUROS 1532643033
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs ENT_NR, 2023, 63227
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs NETTUR_MEUR, 2021, 105308
- Eurostat: Enterprises by detailed NACE Rev. 2 activity and special aggregates (sbs_ovw_act) (2026-11-04)
sbs_ovw_act, geo EU27_2020, nace_r2 C3250, indic_sbs EMP_NR, 2023, 600000
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339113, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339113, annual_avg_estabs 3528
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339113, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339113, annual_avg_emplvl 105116
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339113, 2025 (2026-11-04)
QCEW 2020 annual_avg_emplvl 102053; 2025 annual_avg_emplvl 105116
- U.S. Bureau of Labor Statistics: QCEW annual averages, NAICS 339113, 2025 (2026-11-04)
QCEW 2025 annual, US000, private, NAICS 339113, avg_annual_pay 102311
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