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Business segment information - Schedule of External Net Sales by GBU Reporting Segment (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended
--- | ---
Mar. 31, 2013 | Mar. 31, 2012
Segment Reporting Information [Line Items] |  |
Reported Decline (as a percent) | (5.00%) |
Constant Currency Decline (as a percent) | (7.00%) |
Total Net Sales | $ 103,373 | $ 108,936
Spine Repair Implants and Regenerative Biologics [Member] |  |
Segment Reporting Information [Line Items] |  |
Reported Decline (as a percent) | 5.00% |
Constant Currency Decline (as a percent) | 0.00% |
Total Net Sales | 36,280 | 34,393
Spine Regenerative Stimulation [Member] |  |
Segment Reporting Information [Line Items] |  |
Reported Decline (as a percent) | (13.00%) |
Constant Currency Decline (as a percent) | (17.00%) |
Total Net Sales | 33,744 | 38,790
Spine [Member] |  |
Segment Reporting Information [Line Items] |  |
Reported Decline (as a percent) | (4.00%) |
Constant Currency Decline (as a percent) | (9.00%) |
Total Net Sales | 70,024 | 73,183
Orthopedics [Member] |  |
Segment Reporting Information [Line Items] |  |
Reported Decline (as a percent) | (7.00%) |
Constant Currency Decline (as a percent) | (3.00%) |
Total Net Sales | $ 33,349 | $ 35,753

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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=6880815&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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