Understanding TOPS: A New Option for Back Pain & Spondylolisthesis

Oct 3

If you’ve been told you might need surgery for spinal stenosis or another lower back problem, you’ve probably heard about spinal fusion. While fusion can help, it also limits motion in the spine. That’s where the TOPS™ System comes in — a newer, motion-preserving alternative that’s designed to give patients relief without losing flexibility.

🌟 What Is the TOPS™ System?

TOPS stands for Total Posterior Spine System.
It’s an implant that replaces the part of the spine causing nerve pressure and pain (often from spinal stenosis). Unlike fusion, which locks bones together, TOPS is built to:

Stabilize the spine
Relieve pressure on the nerves
Allow natural movement (bending, twisting, flexing)

Think of it like a supportive hinge: it holds your spine steady where it needs help but still lets you move in ways fusion does not.

💡 Who Might Benefit From TOPS?

The TOPS System may be considered for patients with:

Lumbar spinal stenosis (narrowing of the spinal canal that causes nerve compression)
Spondylolisthesis (slippage of one vertebra over another)
Leg pain, back pain, numbness, or difficulty walking due to these conditions

Your spine surgeon will evaluate your MRI, symptoms, and goals to determine if you’re a candidate.

🔄 How Is TOPS Different From Fusion?

Fusion: Locks two vertebrae together, eliminating motion at that level.
TOPS: Stabilizes the spine but preserves motion, flexibility, and range of movement.

Patients often like TOPS because it helps relieve pain without making the spine rigid.

🏃 What to Expect After Surgery

Recovery times vary, but many patients report:

Improved ability to walk and stand longer
Less beck pain, leg pain and numbness
Greater quality of life with movement preserved

As with any surgery, recovery includes physical therapy, regular check-ins, and following your surgeon’s instructions carefully.

✅ The Bottom Line

The TOPS™ System offers an exciting option for patients struggling with lumbar spinal stenosis and related back problems. By relieving nerve pressure while preserving spinal motion, it bridges the gap between traditional decompression and rigid fusion.

If you’re considering spine surgery, ask your surgeon if the TOPS System may be right for you.

Learn more here: https://premiaspine.com/topstm-system/what-is-tops/

Contact us today to schedule a consultation.