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TOPS™ System has received the prestigious FDA Breakthrough Designation

TOPS™ solves your lower back and leg pain without fusion

What are Patients Saying?

The Premia Spine Story

In 2003, a select group of surgeons and engineers teamed up to improve spine surgery. “There are hip replacements and knee replacements. Why can’t we replace an ailing back with a motion solution instead of fusion?”

That simple question became our compass.

More than 15 years later, we are proud of our achievement—a true facet joint replacement for spinal stenosis and spondylolisthesis.

Our crowning achievement—the TOPS™ System.

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