The probability of inter-crystal scattering (ICS) events for 511 keV gamma rays in all current scintillation crystals is high and the ICS events degrade the spatial resolution of PET scanners. In this work, Monte Carlo simulations were performed to study the effects of ICS events on the sensitivity and spatial resolution of PET detectors. LaBr3, LYSO, and PWO that represent scintillation crystals of low, medium and high density, respectively, were used. For a point source placed in the middle of two scintillation detectors of 50 × 50 × 20 mm3 and a lower energy threshold (LET) of 350 keV, the probabilities that at least one gamma ray undergoes ICS are 94%, 84% and 76% for LaBr3, LYSO, and PWO, respectively. The ICS events still provide useful spatial information. The full width at half maximum (FWHM), the full width at tenth maximum (FWTM) and the mean absolute error (MAE) of the curve of the mispositioning of a point source caused by ICS events are 0.45, 3.0 and 0.9 mm if the most popular PET scintillator LYSO is used. The MAE is smaller than the spatial resolution of most current PET scanners. The effect of ICS increases as the detector LET increases, scintillator density decreases, and crystal size decreases. The intrinsic spatial resolutions of a pair of LYSO detectors were calculated using curves of the coincidence counts between one column of the crystals in the two detectors and the sum of the coincidence counts between two opposite crystals of the columns in the two detectors that are in line with the point source changing with the source positions. The latter method removes almost all of ICS events. The FWHM (FWTM) intrinsic spatial resolutions obtained by the two methods are 0.40 (2.0) mm and 0.33 (0.8) mm if the crystal size is 0.5 mm, and are 0.8 (3.0) and 0.68 (1.5) mm if the crystal size is 1.0 mm. ICS events have much bigger contributions to the FWTM rather than the FWHM of the intrinsic spatial resolution of PET detectors. The spatial resolution of a PET scanner can still be improved by decreasing the crystal size to as small as 0.5 mm.