Three days after the operation, I would walk up and down the stairs in the hospital, artificial stairs without assistance. I got up and walked the length of the room. I didn't believe it myself, but I had that kind of mobility. The pain was gone.


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The TOPS™ System – Is This Superior Alternative to Spinal Fusion Right For You?

The TOPS™ System is a dynamic spinal implant designed to stabilize without fusing the diseased vertebral level following decompression surgery to alleviate pain stemming from spinal stenosis and/or degenerative spondylolisthesis. Spinal stenosis is a narrowing of the spinal canal, which causes a pinching of the spinal cord and nerve roots that extend from the spine to the legs. Degenerative spondylolisthesis refers to an abnormal slip of one spinal vertebra in relation to another that can cause pain in the lower back and legs. The TOPS™ System is indicated for spinal stenosis and spondylolisthesis from L3 to L5. The TOPS™ System can be used in conjunction with Premia Spine's Versalink™ Fixation System to address multi-level diseases of the spine. The Versalink™ Fixation System is intended to treat patients suffering from lumbar spinal disease at one or two adjacent levels between L1 and S1 that requires decompression and stabilization by fixation.

Providing More Flexibility in the Treatment of Spinal Stenosis

Pain relief is typically achieved when the surgeon removes the bone elements that press on the nerves. Upon completing the decompression, the surgeon implants the TOPS System to replace the extracted skeletal structures and stabilize the spine. With the TOPS™ System, clinicians can remove all elements pressing on nerve roots without concern for leaving enough bone for fusion to occur. Instead of permanently locking two adjacent vertebrae, clinicians allow the two vertebrae to continue moving normally with the assistance of the TOPS™ implant. The TOPS™ System allows full motion at the operative level, while prohibiting excessive twists and turns. The result is motion preservation, optimum decompression, spine stability, and pain relief. Patients typically experience immediate pain relief post-surgery. Most patients are on their feet and walking the next day, and claim they haven't felt pain-free in years. As there is no fusion taking place in the lower back with the TOPS™ System, there are few restrictions on activity. Full recuperation varies from patient to patient. However, you can expect in most cases to experience an immediate benefit and then progressive improvement as you undergo a strengthening and rehabilitation program.

You deserve better than fusion

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