Total Posterior Spine (TOPS™) System

A Revolutionary Alternative to Spinal Fusion

Elite Brain and Spine is excited to bring the Total Posterior Spine (TOPS) system to Connecticut, helping patients find relief from chronic lower back and leg pain with a less invasive and more flexible treatment option.

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Restoring Movement and Stability with TOPS

The TOPS system is a cutting-edge joint replacement procedure designed to restore mobility and reduce pain for patients with spinal stenosis or spondylolisthesis. Unlike traditional spinal fusion, which permanently restricts movement, the TOPS system replaces removed bone and ligaments with a dynamic implant. This device helps to preserve a natural range of motion while maintaining spinal stability. If you’ve been told you need spinal decompression and/or fusion, the TOPS system may be a viable alternative, offering relief without sacrificing movement.

A Closer Look at the TOPS System

Image Source: Premia Spine

Conditions Treated with the TOPS System

Spinal Stenosis

Spinal stenosis occurs when the spinal canal narrows, placing pressure on the nerves. This often leads to pain, numbness, and weakness in the lower back and legs. The TOPS system alleviates this pressure, helping to reduce pain and improve mobility without the need for spinal fusion.

Spondylolisthesis

Spondylolisthesis happens when a vertebra slips out of place onto the one below it, resulting in lower back pain, stiffness, and nerve compression. The TOPS system stabilizes the spine while preserving its natural movement, offering relief and improving flexibility without restricting range of motion.

Leading the Way in Spine Surgery

Dr. Marcus was the first surgeon in Connecticut to perform the groundbreaking TOPS procedure. As a leading expert in neurosurgical care, Dr. Marcus is committed to providing patients with the most advanced and effective treatment options available, helping them regain mobility and improve their quality of life.

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Frequently Asked Questions

Have questions about the TOPS procedure? We’ve gathered answers to some of the most common questions to help you better understand this innovative treatment option.

What are the main benefits of TOPS vs. spinal fusion?

The TOPS System offers several key advantages over traditional spinal fusion, making it an effective option for patients looking to preserve movement and reduce long-term risks. These benefits include:

Maintains natural movement (flexion, extension, rotation)
Reduces stress on nearby vertebrae, lowering the risk of future degeneration
Faster recovery compared to spinal fusion
Lower risk of reoperation due to complications
Improved flexibility and quality of life with less pain and stiffness

How do I know if I am a good candidate for TOPS?

Ideal candidates are individuals with lumbar spinal stenosis or degenerative spondylolisthesis who have not found relief from conservative treatments and want to preserve motion instead of undergoing spinal fusion.

What is the recovery time after the procedure?

Recovery time after the TOPS procedure typically involves significant pain relief within 2-4 weeks, with most patients returning to light activities in 4-6 weeks. Full recovery can take 3-6 months, with physical therapy often recommended to aid in healing.

Dr Marcus explaining how the TOPS system works while holding a model of a spine

Still Have Questions?

Hear from Dr. Marcus as he answers common questions and explains how the TOPS procedure works in this informative webinar with Premia Spine.

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Take the Next Step Toward Lasting Relief

If you’re suffering from lower back pain due to conditions like spinal stenosis or spondylolisthesis, the TOPS procedure may be the solution you’ve been looking for. Schedule a consultation with Elite Brain and Spine today to see if you’re a candidate for this advanced treatment.