Motion Preservation Device TOPS™ System
Working in partnership with Premia Spine to offer a motion preservation device which provides a better treatment alternative than spine fusion for patients suffering with pain and loss of function caused by specific back related problems. These include lumbar spinal stenosis, degenerative disc disease and facet pain.
The Tops System is designed specifically to improve mobility and stability for patients suffering from these conditions, allowing them the ability to bend, flex, walk and enjoy normal everyday activities.
The TOPS™ System Overview
For patients with chronic pain originating from the spine, the classic treatment offered is a spinal fusion. However, this surgery can often leave patients without motion in the affected joint which can severely limit their mobility.The intent for the Tops System is to preserve the natural motion of the joints whilst treating the patients spinal pain.
The Tops implant stabilises the spine without the need for rigid spinal fixation. Its unique design means it can remove all painful elements pressing on the nerve roots without concern for fusion to occur. Instead of permanently locking the two adjacent vertebrae, the Tops implant is inserted to allow the two vertebrae to continue moving normally. When successful, it can restore full motion including excessive twists and turns.
Not only does it offer full joint motion, but it also immediately relieves pain. This often leads to the patients being on their feet within the next day or so. As there is no fusion with the Tops System, there are very few restrictions on activity level which means the patient can enjoy a better quality of life.
How the TOPS™ System works
The TOPS™ System is a mechanical device which houses between two titanium plates which allow axial rotation, extension, flexion and lateral bending. The implant offers patients the ability to bend, straighten, twist and turn at the affected segment of the spine. It’s innovative design allows it to replace anatomical structures, such as the facet joint or lamina that are removed from the vertebrae during spinal decompression treatment. The inner metal stoppers replace the natural bony elements that acted as stoppers during joint rotation. The Tops implant is attached to the spine with four standard medical screws via a traditional posterior surgical method.
TOPS™ System Case Studies
The TOPS™ System has a high success rate with patients often experiencing immediate pain relief post-surgery. The results offer motion preservation, optimum decompression, spine stability and pain relief all-in-one. Here are a few successful case studies for the TOPS System.
David’s Story
David was desperate to dance at his child’s wedding, however he became extremely limited in movement and was experiencing a tremendous amount of pain, making made every day activities near impossible. After the insertion of Tops implant, Davids confidence came back and he was able to go back to everyday sporting activities and more importantly…dance once again.
Bonnie’s Story
Bonnie suffered with severe pain when walking as little as 2 minutes where she would often find herself having to stop, rest and stretch out her back before continuing. Having the Tops System surgery has significantly improved her quality of life, she now has full range of motion which allows her to move freely and enjoy walking for longer periods of time.
The TOPS™ System Key Facts
Clinical studies show that results for the Tops system allow patients to experience a full range of movement post surgery, ultimately offering a successful treatment option for spinal stenosis. Its motion preservation mechanical design features two titanium plates which allow rotation, extension and flexion whilst also blocking excessive posterior and anterior sagittal translation.
Treatments it can be used for:
- Spondylolisthesis
- Spinal stenosis
- Facet arthrosis
- Facet cysts
- Revision of failed decompression
- Revision of failed interspinous devices
- Pars defect
- Topping off instead of two-level fusion