VOICES

Explore our FDA-focused solution areas to see how we support medical device and pharmaceutical companies across regulatory pathways and product types, from early strategy through approval-ready submissions.

Therapy Area

Orthopedics & Spine

Hundreds of successful device trials

Therapy Area

Orthopedics & Spine

Hundreds of successful device trials

Therapy Area

Orthopedics & Spine

Hundreds of successful device trials

Overview

BSC® has supported 100s orthopedic and spine device trials, establishing us as a leading statistical partner in musculoskeletal research. Our expertise spans spinal fusion systems, joint replacement devices, fracture fixation products, and soft tissue repair technologies.​

Specialized Capabilities

  • Composite endpoint design combining radiographic and clinical success criteria

  • Handling of surgeon and site variability through hierarchical modeling

  • FDA panel meeting experience for Class III orthopedic devices

  • Expertise in pain and function endpoints (VAS, ODI, WOMAC, SF-36)

Historical control methodologies for rare orthopedic conditions.

Regulatory Experience

We understand the orthopedic division's expectations for imaging core labs, independent radiographic assessment, and durability. Our team has successfully navigated complex discussions around equivalence margins, non-inferiority designs, and superiority claims for next-generation devices.​

Representative Studies

  • Lumbar fusion systems (TLIF, ALIF, posterior instrumentation)

  • Total joint arthroplasty (hip, knee, shoulder)

  • Spinal cord stimulation devices

  • Bone graft substitutes and biologics

  • Extremity fracture fixation systems

Design

We use innovative approaches such as Bayesian design, adaptive clinical trial design, and Propensity Score Matching to save costs, work around limited access to new data, and reduce bias in non-randomized studies.

Analyze

Advance

Design

We use innovative approaches such as Bayesian design, adaptive clinical trial design, and Propensity Score Matching to save costs, work around limited access to new data, and reduce bias in non-randomized studies.

Analyze

Advance

Testimonials

See what our sponsors say about BSC

On Experience

Battle ground tested. There is nothing that David and team haven't seen over the years – good bad and ugly.

• VP, Clinical Operations

• CEO, Medical Device Company

• Former FDA Regulator

Questions answered

Any other question?

Let's help you find a path

to get your idea into the market

  • About & Services

    Working With BSC

    Trial Design & Methodology

    Regulatory & FDA

    Analysis & Programming

    Cost & Contracting

    Expertise & Qualifications

    Practical Considerations

    Common Concerns

  • What does BSC specialize in?

    What types of clients do you work with?

    What therapeutic areas do you cover?

    How is BSC different from a CRO?

    What size projects do you handle?

Questions answered

Any other question?

Let's help you find a path

to get your idea into the market

  • About & Services

    Working With BSC

    Trial Design & Methodology

    Regulatory & FDA

    Analysis & Programming

    Cost & Contracting

    Expertise & Qualifications

    Practical Considerations

    Common Concerns

  • What does BSC specialize in?

    What types of clients do you work with?

    What therapeutic areas do you cover?

    How is BSC different from a CRO?

    What size projects do you handle?

Questions answered

Any other question?

Let's help you find a path

to get your idea into the market

  • About & Services

    Working With BSC

    Trial Design & Methodology

    Regulatory & FDA

    Analysis & Programming

    Cost & Contracting

    Expertise & Qualifications

    Practical Considerations

    Common Concerns

  • What does BSC specialize in?

    What types of clients do you work with?

    What therapeutic areas do you cover?

    How is BSC different from a CRO?

    What size projects do you handle?

Questions answered

Any other question?

Let's help you find a path

to get your idea into the market

  • About & Services

    Working With BSC

    Trial Design & Methodology

    Regulatory & FDA

    Analysis & Programming

    Cost & Contracting

    Expertise & Qualifications

    Practical Considerations

    Common Concerns

  • What does BSC specialize in?

    What types of clients do you work with?

    What therapeutic areas do you cover?

    How is BSC different from a CRO?

    What size projects do you handle?

Biomedical Statistical Consulting®
Biomedical Statistical Consulting®
Biomedical Statistical Consulting®
Biomedical Statistical Consulting®

Request Expert Review

Backed by Regulatory Experience.

Engage directly with senior biostatisticians to review your clinical strategy, statistical approach, or FDA submission — with clarity, rigor, and regulatory perspective.

Confidential discussion with senior biostatisticians experienced in FDA submissions.

Request Expert Review

Backed by Regulatory Experience.

Engage directly with senior biostatisticians to review your clinical strategy, statistical approach, or FDA submission — with clarity, rigor, and regulatory perspective.

Confidential discussion with senior biostatisticians experienced in FDA submissions.

Request Expert Review

Backed by Regulatory Experience.

Engage directly with senior biostatisticians to review your clinical strategy, statistical approach, or FDA submission — with clarity, rigor, and regulatory perspective.

Confidential discussion with senior biostatisticians experienced in FDA submissions.

Request Expert Review

Backed by Regulatory Experience.

Engage directly with senior biostatisticians to review your clinical strategy, statistical approach, or FDA submission — with clarity, rigor, and regulatory perspective.

Confidential discussion with senior biostatisticians experienced in FDA submissions.