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Introduction our study aimed to assess the quality of life (QOL) among adolescents with adolescent idiopathic scoliosis (AIS) receiving nonoperative treatment, and to identify the demographic and clinical factors associated with poor QOL. Methods this is a cross-sectional study. We included adolescents followed in the Department of Physical Medicine and Rehabilitation at Taher Sfar Hospital (Mahdia - Tunisia). The Quality-of-Life Profile for Spine Deformities (QLPSD), the Scoliosis Research Society 22 questionnaire (SRS-22) and the visual analogue scale objectifying the QOL (EVA QOL) were used. Correlations between the QOL domains and selected characteristics were performed. Results a total of 48 adolescents with AIS were included, with a mean age of 14.2 ± 2.1 years and a sex ratio (M/F) of 0.77. Adolescents who underwent rehabilitation treatment only had significantly better quality of life (QOL) scores than those with braces, as measured by three scales. Among brace wearers, we found a correlation between QOL and the degree of correction achieved by the brace, as measured by the EVA-QOL. We observed significant relationships between psychosocial status and age, correction angle, and treatment duration among braced patients, as measured by the QLPSD. Additionally, we found that dorsal flexibility was correlated with the correction angle and the treatment duration. According to the SRS-22, the overall QOL score of braced adolescents was significantly correlated with the correction obtained by the brace. Conclusion wearing a brace in adolescent with AIS leads to a significant decrease in QOL according to the three QOL assessment scales.

Since Joubert et al. first described a familial syndrome comprised of agenesis of the cerebellar vermis, episodic hyperpnea and apnea, abnormal eye movements, ataxia, and retardation associated with genesis of the cerebellar vermis, several additional cases have been reported from various parts of the world. Other abnormalities have been associated with Joubert syndrome, such as an occipital meningocele, polydactyly, facial asymmetry, and chorioretinal coloboma. We report the case of a 4-year-old male, referred to our rehabilitation department with a history of hypotonia and delayed psychomotor development. Cerebral magnetic resonance imaging (MRI) led to the clinical diagnosis of Joubert Syndrome.

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