Rim enhancement on MRI predicts long-term outcomes in extruded/migrated lumbar disc herniation managed with an inflammation-preserving protocol: a 6-year prospective cohort study - Summary - MDSpire

Rim enhancement on MRI predicts long-term outcomes in extruded/migrated lumbar disc herniation managed with an inflammation-preserving protocol: a 6-year prospective cohort study

  • By

  • Zhiqiang Wang

  • Shun Lin

  • Yan Gong

  • Xiaochun Li

  • Hong Jiang

  • Jintao Liu

  • June 4, 2026

  • 0 min

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Objective:

Revise to remove implications about the significance of the rim enhancement sign.

Key Findings:
  • Statistically significant differences in herniation volume and overall resorption rate at 1 and 3 years post-treatment (P < 0.05).
  • Significant improvement in JOA scores, ODI, and SLRT positive angle at 6 years between the two groups (P < 0.05).
  • Positive correlations between improvement rates of JOA scores, ODI, SLRT positive angle, and resorption rate (P < 0.05).
  • Baseline herniation volume was the strongest independent predictor of JOA improvement rate (P < 0.001).
Interpretation:

Remove this section entirely.

Limitations:
  • Single-arm study design limits the ability to draw definitive conclusions about the specific contribution of inflammation preservation.
  • Lack of a control group for comparison.
Conclusion:

Revise to reflect only the findings without implications about potential or significance.

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