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Debt - Additional Information (Details) (USD $)
1 Months Ended 3 Months Ended 0 Months Ended 1 Months Ended 0 Months Ended
Feb. 28, 2013
Mar. 31, 2015
Mar. 31, 2014
Sep. 30, 2013
Aug. 30, 2013
Nov. 21, 2014
Mar. 20, 2014
Mar. 20, 2014
Apr. 30, 2014
Mar. 31, 2014
Apr. 01, 2015
Dec. 31, 2014
Mar. 17, 2014
Jul. 30, 2013
Line of Credit Facility [Line Items]                            
Common stock warrant liabilities   $ 8,817,000us-gaap_DerivativeLiabilitiesCurrent                   $ 8,702,000us-gaap_DerivativeLiabilitiesCurrent    
Repayments under lines of credit   40,227,000us-gaap_RepaymentsOfLinesOfCredit 36,601,000us-gaap_RepaymentsOfLinesOfCredit                      
Unamortized debt issuance and debt discount costs   6,819,000atec_UnamortizedDebtIssuanceAndDebtDiscount                        
Additional interest rate to be charged in the event of default   5.00%atec_DebtInstrumentDebtDefaultAccruedInterestRate                        
Amendment fee 100,000atec_LineOfCreditFacilityAmendmentFee                          
Warrants value                         5,700,000atec_ClassofWarrantorRightWarrantsValue  
Restricted cash   4,400,000us-gaap_RestrictedCashAndCashEquivalents                   4,400,000us-gaap_RestrictedCashAndCashEquivalents    
Long-term restricted cash   1,300,000us-gaap_RestrictedCashAndCashEquivalentsNoncurrent                        
Amended Credit Facilty with MidCap [Member]                            
Line of Credit Facility [Line Items]                            
Maximum borrowing capacity         73,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                50,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
Repayments under lines of credit         28,000,000us-gaap_RepaymentsOfLinesOfCredit
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                 
Debt issuance costs       400,000us-gaap_PaymentsOfDebtIssuanceCosts
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                   
Unamortized debt issuance and debt discount costs   400,000atec_UnamortizedDebtIssuanceAndDebtDiscount
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                       
Amended Credit Facilty with MidCap [Member] | Term Loan [Member]                            
Line of Credit Facility [Line Items]                            
Interest rate description   ( "LIBOR") plus 8.0%                        
Debt, spread on variable rate   8.00%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
/ us-gaap_CreditFacilityAxis
= atec_TermLoanMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                       
Floor on interest rate   9.50%atec_LineofCreditFacilityFlooronInterestRatePercentage
/ us-gaap_CreditFacilityAxis
= atec_TermLoanMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                       
Interest rate of revolving line of credit   9.50%us-gaap_LineOfCreditFacilityInterestRateAtPeriodEnd
/ us-gaap_CreditFacilityAxis
= atec_TermLoanMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                       
Amended Credit Facilty with MidCap [Member] | Term Loan Drawn On Closing [Member]                            
Line of Credit Facility [Line Items]                            
Maximum borrowing capacity         33,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= atec_TermLoanDrawnOnClosingMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                 
Amended Credit Facilty with MidCap [Member] | Term Loan. Delayed Draw [Member]                            
Line of Credit Facility [Line Items]                            
Maximum borrowing capacity         5,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= atec_TermLoan.DelayedDrawMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                 
Amended Credit Facilty with MidCap [Member] | Credit Facility [Member]                            
Line of Credit Facility [Line Items]                            
Maximum borrowing capacity         40,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                 
Interest rate description   LIBOR plus 6.0%                        
Debt, spread on variable rate   6.00%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                       
Interest rate of revolving line of credit   6.20%us-gaap_LineOfCreditFacilityInterestRateAtPeriodEnd
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                       
Amount of initial draw-down under Facility Agreement   30,500,000us-gaap_LineOfCredit
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
                       
Deerfield [Member]                            
Line of Credit Facility [Line Items]                            
Maximum borrowing capacity                         50,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
 
Transaction fee as percentage of principal amount                         2.50%atec_LineofCreditFacilityTransactionFeeasPercentageofPrincipalAmount
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
 
Debt instrument, stated interest rate                         8.75%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
 
Number of securities called by warrants                         6,250,000us-gaap_ClassOfWarrantOrRightNumberOfSecuritiesCalledByWarrantsOrRights
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
 
Amount of initial draw-down under Facility Agreement   26,000,000us-gaap_LineOfCredit
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
      6,000,000us-gaap_LineOfCredit
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
20,000,000us-gaap_LineOfCredit
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
20,000,000us-gaap_LineOfCredit
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
           
Net Proceeds from draw under Facility Agreement           5,900,000atec_NetProceedsfromDrawUnderFacilityAgreement
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
               
Net Proceeds from initial draw under Facility Agreement             19,500,000atec_NetProceedsfromInitialDrawUnderFacilityAgreement
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
19,500,000atec_NetProceedsfromInitialDrawUnderFacilityAgreement
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
           
Transaction fee           200,000us-gaap_DebtIssuanceCosts
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
500,000us-gaap_DebtIssuanceCosts
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
             
Number of warrants issued           1,200,000atec_ClassofWarrantorRightNumberofWarrantsIssued
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
4,000,000atec_ClassofWarrantorRightNumberofWarrantsIssued
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
4,000,000atec_ClassofWarrantorRightNumberofWarrantsIssued
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
           
Warrants value           900,000atec_ClassofWarrantorRightWarrantsValue
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
4,700,000atec_ClassofWarrantorRightWarrantsValue
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
4,700,000atec_ClassofWarrantorRightWarrantsValue
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
           
Warrant amount reclassified as debt discount   200,000atec_ClassofWarrantorRightAmountReclassifiedasDebtDiscount
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
        2,300,000atec_ClassofWarrantorRightAmountReclassifiedasDebtDiscount
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
2,300,000atec_ClassofWarrantorRightAmountReclassifiedasDebtDiscount
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
           
Equal annual payments   3atec_NumberofEqualAnnualPaymentstoMakeUnderFacilityAgreement
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
                       
Maximum [Member] | Deerfield [Member]                            
Line of Credit Facility [Line Items]                            
Number of securities called by warrants associated with each disbursement borrowing                         10,000,000atec_ClassofWarrantorRightNumberofSecuritiesCalledbyWarrantsorRightsAssociatedwithEachDisbursementBorrowing
/ us-gaap_LineOfCreditFacilityAxis
= atec_DeerfieldMember
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
 
Orthotec LLC, Litigation Settlement [Member]                            
Line of Credit Facility [Line Items]                            
Litigation settlement expense   19,700,000us-gaap_LitigationSettlementExpense
/ us-gaap_LitigationCaseAxis
= atec_OrthotecLLCLitigationSettlementMember
            15,750,000us-gaap_LitigationSettlementExpense
/ us-gaap_LitigationCaseAxis
= atec_OrthotecLLCLitigationSettlementMember
1,750,000us-gaap_LitigationSettlementExpense
/ us-gaap_LitigationCaseAxis
= atec_OrthotecLLCLitigationSettlementMember
       
Beginning October 2013 [Member] | Amended Credit Facilty with MidCap [Member]                            
Line of Credit Facility [Line Items]                            
Term loan payments   300,000us-gaap_LineOfCreditFacilityPeriodicPaymentPrincipal
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
/ atec_TermLoanPaymentScheduleAxis
= atec_BeginningOctober2013Member
                       
Beginning October 2014 [Member] | Amended Credit Facilty with MidCap [Member]                            
Line of Credit Facility [Line Items]                            
Term loan payments   500,000us-gaap_LineOfCreditFacilityPeriodicPaymentPrincipal
/ us-gaap_LineOfCreditFacilityAxis
= atec_AmendedCreditFaciltywithMidCapMember
/ atec_TermLoanPaymentScheduleAxis
= atec_BeginningOctober2014Member
                       
Subsequent Event [Member] | Orthotec LLC, Litigation Settlement [Member]                            
Line of Credit Facility [Line Items]                            
Litigation settlement expense                     $ 1,100,000us-gaap_LitigationSettlementExpense
/ us-gaap_LitigationCaseAxis
= atec_OrthotecLLCLitigationSettlementMember
/ us-gaap_SubsequentEventTypeAxis
= us-gaap_SubsequentEventMember