Changing the way debilitating leg and back pain is treated with the TOPS™ System, a first-of-a-kind facet joint replacement system.

Juliene chose the TOPS™ device to avoid fusion and found relief while preserving motion and protecting adjacent spinal segments. Walking pain-free for the first time in nearly a year, her journey is truly inspiring! premiaspine.us
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What can you expect from the TOPS™ System compared to spinal fusion? In this patient webinar, Dr. Joshua Marcus, a Connecticut neurosurgeon with @NorthwellHealth, shares his experience using the TOPS System to treat lumbar spinal stenosis and grade 1 spondylolisthesis. He explains why he's adopted a TOPS-first approach for appropriate patients, discusses who may be a candidate, and compares recovery timelines and motion preservation with traditional fusion. #spine #spinehealth #TOPSsystem #webinar #doctor #surgeon Watch the full webinar here: piped.video/watch?v=Idv-_dVw…
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Dr. Zachary Medress from The Oregon Clinic in Portland, OR will be leading our live webinar tonight at 7pm ET. Join us! #TOPSsystem #webinar #doctor #surgeon us02web.zoom.us/j/8817322423…
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TOPS™ is now available in Nebraska! Dr. Miki Katzir of Nebraska Medicine (@NebraskaMed) performs the procedure at The University of Nebraska Medical Center (@unmc). He is excited to bring TOPS to Omaha and surrounding areas. #spine #TOPSsystem #doctor #surgeon
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Meet Dr. Brian Handal, an orthopedic spine surgeon offering the TOPS™ System at his practice DMOS Orthopaedic Centers (@DMOSOrtho) in West Des Moines, Iowa. Dr. Handal specializes in the diagnosis and treatment of spinal conditions, with a focus on helping patients find solutions that support their mobility and quality of life. As a TOPS surgeon, he offers an innovative motion-preserving approach for appropriate patients with lumbar spinal stenosis and grade 1 degenerative spondylolisthesis. #spine #spinehealth #TOPSsystem #doctor #surgeon
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Are you interested in the TOPS™ System for leg and back pain? Watch our live webinar Wednesday, September 23rd at 7pm ET with Dr. Zachary Medress from The Oregon Clinic in Portland, OR. He will be discussing his experience in medicine and the TOPS System. Use the link below to attend. #spine #spinehealth #TOPSsystem #webinar #doctor #surgeon us02web.zoom.us/j/8817322423…
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In this patient webinar, Dr. Joshua Beckman, a board-certified neurosurgeon specializing in motion preservation spine surgery, explains how the TOPS™ procedure is designed to stabilize the spine while preserving motion. He discusses how the device works, FDA-approved indications, patient eligibility, and important factors surgeons consider when determining if TOPS may be an appropriate option. Dr. Beckman practices at Neurosurgery One in Colorado. #spine #spinehealth #TOPSsystem #webinar #doctor #surgeon @AdventHealth Watch the full webinar here: piped.video/watch?v=Dvme8HLe…
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Dr. Steve DeLuca was the first surgeon to perform the TOPS procedure in the @FDA clinical approval study. He recently moved from Pennsylvania to the Lee Physician Group (@Lee_Health) in Estero, Fl, and brought TOPS with him. Hear him talk about the TOPS™ procedure tonight at our webinar at 7pm EST. #TOPSystem #webinar #doctor us02web.zoom.us/j/8730698654…
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Dr. Steve DeLuca was an early adopter of TOPS™, performing the procedure as part of our @FDA trial and after FDA approval. Join us next Wednesday for a live webinar about the TOPS™ System at 7pm ET. Dr. DeLuca is from Lee Physician Group of @Lee_Health in Estero, Fl. He will discuss his background, motion preservation, and his experience with TOPS. Use the link below to attend. #TOPSsystem #webinar #doctor #surgeon us02web.zoom.us/j/8730698654…
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The TOPS™ System is now available in the Roanoke, VA area! Dr. Josh Prickett (@DOPrickett) of LewisGale Hospital (@hcavirginia) specializes in neurosurgical spine surgery and is excited to bring this motion-preserving technology to patients in the region. Learn more about him at joshuaprickett.com. #spine #spinehealth #TOPSsystem #surgeon
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Dr. Paul Cho is both a TOPS™ doctor and TOPS recipient. He practices at Brain & Spine Specialists of North Texas in Fort Worth, TX, and will be featured on our webinar tonight at 7pm ET. Come watch! #TOPSsystem #webinar #doctor #surgeon us02web.zoom.us/j/8819780814…
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In this informative discussion, Dr. Ken Sack a dual-trained vascular and endovascular neurosurgeon at @HCAhealthcare, explains how the TOPS™ System preserves motion while providing stability as an alternative to spinal fusion. He covers who may be a candidate, what recovery typically looks like, and answers common patient questions about returning to activities like hiking, dancing, and everyday life after surgery. Watch the full webinar here: piped.video/pvmoh2Jl_aw?si=gkib… #spine #spinehealth #TOPSsystem #webinar #doctor #surgeon.
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When spine surgeon Dr. Paul Cho started having lower back pain, he knew back surgery was in his future. As a provider of TOPS™, he knew he would want TOPS over a traditional fusion. Today, he is both a TOPS provider and a recipient. Hear from Dr. Cho of Brain and Spine Specialists TX in our live webinar this Wednesday, August 26th at 7pm ET. Use the link below to attend. #TOPSsystem #webinar #doctor #surgeon us02web.zoom.us/j/8819780814…
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Dr. Gustavo Navarro and his team at Hospital Medassist after completing another successful TOPS™ procedure in Puerto Vallarta, Mexico, with the support of @GlobalTechCorps, Premia Spine’s distributor in Mexico. Based in Puerto Vallarta, Dr. Navarro cares for patients from across the region as well as around the world. Many international patients choose to travel to Puerto Vallarta for their TOPS™ procedure, taking advantage of the opportunity to receive advanced spine care while recovering in one of Mexico’s most beautiful coastal destinations. #spine #spinehealth #TOPSsystem #surgeon
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Learn more about the TOPS™ System in this webinar with Dr. Mark Gerber and our VP Jeff Acuff. Dr. Gerber is a board-certified neurosurgeon in Naples, FL at Neuroscience and Spine Associates (NASA). In this webinar, he discusses motion preservation in spine surgery and where the TOPS System fits in. Tune into our Patient Webinars live every other Wednesday evening. #spine #spinehealth #TOPSsystem #webinar #video piped.video/mG2lREHRnyg?si=gdNF…
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Dr. Brett Gunter from Medical University of South Carolina (@MUSChealth) in Columbia, SC will be leading our live webinar tonight at 7pm ET. Join us! #TOPSsystem #webinar #doctor #surgeon us02web.zoom.us/j/8252737037…
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Caring for those who have served our country is a unique privilege. Physicians who support military members, veterans, and civilian patients bring a special perspective to spine care. Dr. Matthew Lindsey, an orthopedic spine surgeon with the SLUCare Physician Group (@SSMHealth) in St. Louis, Missouri, is one of those physicians. Through his commitment to patient-centered care, Dr. Lindsey focuses on identifying the right treatment at the right time—starting with a clear understanding of each patient's goals, motivations, and lifestyle before developing a personalized treatment plan. #spine #TOPSsystem #doctor #surgeon
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Tony Agnesi had spinal stenosis and spondylolisthesis for over a decade, and was struggling to walk more than 100 feet. After discovering the TOPS™ System, his life changed. Today, Tony is back to doing what he loves, including playing pickleball 3–4 times a week. For Medicare-aged patients, preserving mobility means preserving independence, hobbies, and time with family. Read Tony’s story and learn why access to innovative spine care matters. #spine #spinehealth #TOPSsystem #medicare #Pickleball realclearpolicy.com/articles…
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Are you interested in the TOPS™ System for leg and back pain? Watch our live webinar next Wednesday, August 12th at 7pm ET with Dr. Brett Gunter from Medical University of South Carolina (@MUSChealth) in Columbia, SC. He and Jeff Acuff, our SVP, will be discussing his experience in medicine and the TOPS System. Use the link below to attend. #spine #TOPSsystem #webinar #doctor #surgeon us02web.zoom.us/j/8252737037…
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Today marks an exciting milestone for motion preservation in the Mid-South! Congratulations to Raul Cardenas, MD, who successfully performed the first TOPS™ procedure in the Mid-South at St. Francis Hospital – Bartlett in Memphis, TN. This achievement represents another important step in expanding access to motion-preserving treatment options for patients suffering from lumbar spinal stenosis with degenerative spondylolisthesis. A sincere thank you to Dr. Cardenas, his outstanding surgical team, and everyone involved in making this milestone possible. We look forward to supporting many more patients and continuing to grow the adoption of motion preservation throughout the region. #spine #spinehealth #TOPSsystem #surgeon #doctor
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