Children with high and low shoulders can be caused by scoliosis, which is also a clinical symptom of scoliosis itself, but one cannot in turn assume that having this symptom is clearly scoliosis. In addition, many diseases can cause high and low shoulders, the more common ones are as follows: First, it is possible that there are no other structural changes in the body, i.e. the whole shoulder posture has not been done well in recent times, forming bad habits. Second, the scapula itself is dysplastic or congenital myotonic neck, can cause symptoms of high and low shoulder, so having high and low shoulder cannot be rashly determined as scoliosis. In this case, you should go to the pediatric orthopedic department of the hospital to have a medical examination by a doctor to determine the direction of the symptoms and, if necessary, to have a full-length spine radiograph to rule out the possibility of scoliosis.