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Business Segment Information - Schedule of External Net Sales by SBU Reporting Segment (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
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Dec. 31, 2013 | Sep. 30, 2013 | Jun. 30, 2013 | Mar. 31, 2013 | Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Net sales | $ 106,143 | $ 92,738 | $ 98,280 | $ 103,373 | $ 117,365 | $ 107,857 | $ 113,423 | $ 108,936 | $ 400,534 | $ 447,581 | $ 441,971
BioStim [Member] |  |  |  |  |  |  |  |  |  |  |
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 37.00% | 41.00% | 43.00%
Net sales |  |  |  |  |  |  |  |  | 147,910 | 181,959 | 188,136
Biologics [Member] |  |  |  |  |  |  |  |  |  |  |
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 13.00% | 12.00% | 10.00%
Net sales |  |  |  |  |  |  |  |  | 53,769 | 53,730 | 42,919
Spine Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 24.00% | 22.00% | 20.00%
Net sales |  |  |  |  |  |  |  |  | 95,470 | 99,883 | 91,395
Extremity Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Sales Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 26.00% | 25.00% | 27.00%
Net sales |  |  |  |  |  |  |  |  | $ 103,385 | $ 112,009 | $ 119,521

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- Definition Represents the revenues of a reporting segment as a percent of total revenues of the reporting entity. + References No definition available. + Details
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- Details
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- Definition Total revenue from sale of goods and services rendered during the reporting period, in the normal course of business, reduced by sales returns and allowances, and sales discounts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 1 -Article 5 + Details
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