Is TOPS Total Lumbar Facet Replacement also superior to spine fusion? - SkyGen

Is TOPS Total Lumbar Facet Replacement also superior to spine fusion?

The short answer is YES. The TOPS Total Lumbar Facet Replacement system is a new and exciting development for patients wanting to avoid restrictive lumbar spine surgery. This new implant is built by Premiaspine, an Isreali medical technology company, and underwent clinical trials in 2006, which were completed by 2011. Our senior neurosurgeons Dr. Bernd Illerhaus & Dr. Thomas Bierstedt in Germany are reference surgeons for this procedure and we now have new patients travelling for this new technology every month.

In which circumstances is the TOPS System suitable?

– Spinal Stenosis
– Spondylolisthesis (vertebral slippage)
– Severe facet joint damage
– Patient had previous laminectomy (entire lamina removed)
– Patient unsuitable for anterior approach lumbar surgeries

Premiaspine CEO Ron Sacher explains more (Video Below)


The TOPS implant can restore healthy height and movement to the spine, alleviating pain and nerve compression and provide the chance for a healthy and active lifestyle.

Although most of our Skygen patients enquire with us due to our surgeons experience and track record with Artificial Disc Replacement (ADR) with the latest generation M6 Implant by Spinal Kinetics, the M6 disc isn’t the best implant for every case. If a patient has vertebral slippage or cannot have surgery via the abdominal approach due to scarring from previous surgeries, then TOPS Total Facet Replacement may be the better solution. Our surgeons will recommend the best solution for each unique case.

At Skygen we have many instances where patients in Australia, New Zealand, Singapore and South Africa have contacted us after already experiencing cases of ‘adjacent segment disease’ from a previous spinal fusion. As TOPS isn’t available in these countries, they are interested in the skills of our expert surgeons in Germany to help them avoid another spinal fusion. Our surgeons will evaluate their case to insert this TOPS System above or below the previous spinal fusion to restore functionality and best mitigate the change for the ‘adjacent segment disease’ transferring further up the spine and requiring future surgeries.

Click here to see our spine surgery Real Patient Stories

Please contact Skygen directly to discuss your case and one of our expert spine surgery patient facilitators will be happy to answer all of your questions regarding these overseas surgeries.

*Please read: Although the information provided on this page may describe a particular patient experience and/or outcome, readers must understand that each patient presents with a unique medical history and may be recommended a different treatment/surgery by their surgeon to that described above. Individual results may vary between surgery centre/hospital, surgeon, surgery type and patient. Although SkyGen agrees to share all updates from patients at their request, SkyGen does not endorse any physical activities attempted by patients following surgery which do not follow the explicit instructions provided by their surgeon. SkyGen encourages all patients to discuss the risks of such activities with medical professionals before attempting these themselves.

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Written by SkyGen Public Relations

This content is copyright and property of SkyGen Spinal & Orthopaedic. It was written to educate our patients in making informed decisions regarding their own healthcare. SkyGen is Australia's largest international collaboration between world class regenerative medicine clinics and orthopaedic hospitals.