Choose TOPS With Dr. Joshua Marcus

Dr. Marcus focuses on the minimally invasive surgical treatment of brain and spine conditions including brain and spine tumors, degenerative and traumatic spine disease, trigeminal neuralgia and other chronic pain syndromes as well as disorders of the cerebrovascular system. Dr. Marcus performs fusion and non-fusion surgeries, including facet arthroplasty.

We accept most major insurances, but it is always best to call us at 203-792-2003 and check as it can change.

For more information about Dr. Marcus,  please visit: https://elitebrainspine.com/joshua-marcus/

 The TOPS™ System by Premia Spine offers an innovative alternative to spinal fusion surgery for patients with moderate to severe lumbar spinal stenosis, degenerative spondylolisthesis, and related conditions. This mechanical implant maintains stability and preserves motion by replacing bony and soft tissues removed during decompression surgery. Clinically proven to provide immediate and sustained pain relief, the TOPS System allows patients to bend, flex, walk, and enjoy normal activities without the limitations of traditional fusion surgery.  

 If you suffer from radiating leg pain, greater leg/buttock pain than back pain, severe pain when walking short distances, or pain that eases when sitting or bending forward, these could be signs of spinal stenosis and degenerative spondylolisthesis. The TOPS™ System by Premia Spine offers an alternative to fusion by stabilizing the spine while preserving motion. Implanted after decompression surgery, it alleviates pain from spinal stenosis and spondylolisthesis without rigid fixation, allowing for natural movement and immediate pain relief. Most patients walk the next day and experience ongoing improvement through rehabilitation.  

 For more information about TOPS™, please visit: https://premiaspine.us/