If parents find that the child’s shoulders are not equal, they should first suspect a spinal deformity and observe the appearance. If it is obvious that in addition to unequal shoulders, there is also a difference in the height of the two backs, there may be a spinal deformity, so the child should be brought to the spine surgery department for a spinal radiograph as soon as possible to clarify whether there is scoliosis or other spinal deformity. If the shoulders are not equal in height and there is no obvious difference in height between the two backs, the child should be given more training in sitting and standing, including standing against the wall, hanging bar, etc. Pay attention to try to avoid repeated, long-term stress on the shoulders of school bags. For adolescent scoliosis, the choice of treatment should be based on the degree of the patient. If the degree of scoliosis is <20°, early observation is possible; if the degree of scoliosis is 20°-40°, brace treatment is needed to reduce the progression of scoliosis through external fixation; if the degree of scoliosis is >40° or even 50° through brace treatment and other physical therapy and physical exercise, surgical treatment is needed. If the scoliosis is >40°, the progression is often irreversible and requires timely treatment. For middle-aged and elderly people, if they have unequal shoulders, they often have degenerative scoliosis or degenerative spinal deformity caused by spondylolisthesis. If the middle-aged and elderly people find that the shoulders are not equal, they should go to the hospital in time to take a film to check for other deformities such as degenerative spine, scoliosis or other deformities.