The TOPS spinal implant, developed by Premia Spine, offers an alternative solution to spinal fusion surgery for patients with moderate to severe lumbar spinal stenosis, degenerative spondylolisthesis and related spinal conditions impacting the spinal facet joints, while maintaining stability and preserving motion. In a Posterior Arthroplasty procedure, the surgeon removes the bony elements that press on the nerves and replaces them by implanting the TOPS System to stabilize and reestablish a controlled range of movement of the lumbar spine.

TOPS surgery is an option for otherwise healthy, active people with chronic low back pain, sciatic pain, numbness, tingling, burning sensation, and/or radiating leg pain while walking (spinal claudication), allowing them to regain the ability to bend, flex, walk, and enjoy the normal activities of life that were so debilitating before surgery.

The TOPS spinal implant was approved by the FDA in June 2023 and Dr. J. Alex Sielatyski received his training for the procedure in September 2023.