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Business segment information - Operating Income (Loss) by GBU (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Sep. 30, 2012
Sep. 30, 2011
Segment Reporting Information [Line Items]        
Operating Income (Loss) by GBU $ 21,533 $ 23,599 $ 64,529 $ 15,498
Corporate [Member]
       
Segment Reporting Information [Line Items]        
Operating Income (Loss) by GBU (4,356) (3,275) (13,027) (18,583)
Spine [Member]
       
Segment Reporting Information [Line Items]        
Operating Income (Loss) by GBU 22,615 22,373 65,209 28,239
Orthopedics [Member]
       
Segment Reporting Information [Line Items]        
Operating Income (Loss) by GBU $ 3,274 $ 4,501 $ 12,347 $ 5,842