Neuronopathy, Distal Hereditary Motor, Autosomal Recessive 4, also known as spinal muscular atrophy, distal, autosomal recessive, 4, is related to distal spinal muscular atrophy type 4 and amyotrophic lateral sclerosis 1, and has symptoms including waddling gait An important gene associated with Neuronopathy, Distal Hereditary Motor, Autosomal Recessive 4 is PLEKHG5 (Pleckstrin Homology And RhoGEF Domain Containing G5). Affiliated tissues include spinal cord, and related phenotypes are scoliosis and hyperlordosis