New Spine Surgery Alternative for Severe Back and Leg Pain
Atlantic Health System neurosurgeon performs first surgery in NJ for the TOPS™ clinical trial
Like millions of Americans, Jill D., 55, of Hewitt, NJ, had been suffering from back pain for years. After two years of taking gabapentin to treat spondylolisthesis — a severely painful condition that occurs when a vertebra slips out of place relative to the bone below it — the pain radiating down her back and legs became unbearable. Jill decided it was finally time to see a neurosurgeon.
“The first neurosurgeon wanted to put me into surgery two weeks after I first saw him,” explains Jill, who was naturally hesitant to go directly into the operating room during the first few weeks of the COVID-19 pandemic. “That was just too quick for me.”
She instead sought a second opinion from Scott A. Meyer, MD, a board-certified neurosurgeon and spine specialist for Atlantic Health System — at the recommendation of her sister, a former patient of Dr. Meyer. Dr. Meyer recommended Jill follow a coordinated regimen of pain management coupled with physical therapy to exhaust nonsurgical treatment options before moving forward with surgery.
“Jill had severe bilateral radicular pain that unfortunately did not improve with months of pain management and physical therapy,” says Dr. Meyer. “At that point, it not only became very clear that spinal surgery would be the best route to stabilize her vertebrae and eliminate nerve pain, but also that she would be an excellent candidate for the TOPS clinical trial.”
TOPS, which stands for Total Posterior Arthroplasty System, is a screw-based implant that serves as an alternative to traditional spinal fusion. Instead of locking vertebrae together through fusion, the device stabilizes the vertebral segment while still allowing normal motion in all directions. The TOPS device has been commercially available in Europe, the UK, Australia and elsewhere since 2012. The U.S. Food and Drug Administration/Investigational Device Exemption trial is part of the process for bringing TOPS to patients in the U.S., including Overlook and Morristown medical centers.
“Dr. Meyer explained the difference between regular spinal fusion and the TOPS device,” notes Jill. “If participating gave me a chance to preserve my range of motion, I was all for it.”
Jill was the first patient in NJ to participate in the clinical trial and had her surgery at Overlook Medical Center in Summit.
“This clinical trial presented her with an opportunity to be pain-free and keep her range of motion,” says Dr. Meyer.
Jill now says all the pain she was experiencing prior to surgery is gone. “I’m amazed,” concludes Jill. “Before, I would yell out in pain because everything I did, even things like sitting down at the computer or getting up to get coffee, was so excruciating. Thanks to Dr. Meyer, I feel like a completely new person.”
Atlantic Health System Neurosurgeon Seeks Patients to Enroll in Clinical Trial
Overlook and Morristown medical centers are among 40 spine centers throughout the U.S. taking part in the pivotal study examining the use of Total Posterior Arthroplasty System (TOPS) to treat patients with degenerative Grade I spondylolisthesis or spinal stenosis.