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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 | 6 Months Ended
--- | --- | ---
Jun. 30, 2013 | Jun. 30, 2012 | Jun. 30, 2013 | Jun. 30, 2012
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (13.00%) |  | (9.00%) |
Constant Currency Growth (as a percent) | (12.00%) |  | (10.00%) |
Total Net Sales | $ 98,280 | $ 113,423 | $ 201,653 | $ 222,359
Spine Repair Implants and Regenerative Biologics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (3.00%) |  | 1.00% |
Constant Currency Growth (as a percent) | (10.00%) |  | 1.00% |
Total Net Sales | 33,953 | 35,135 | 70,233 | 69,528
Spine Regenerative Stimulation [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (18.00%) |  | (16.00%) |
Constant Currency Growth (as a percent) | (21.00%) |  | (16.00%) |
Total Net Sales | 34,088 | 41,759 | 67,832 | 80,549
Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (12.00%) |  | (8.00%) |
Constant Currency Growth (as a percent) | (16.00%) |  | (8.00%) |
Total Net Sales | 68,041 | 76,894 | 138,065 | 150,077
Orthopedics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (17.00%) |  | (12.00%) |
Constant Currency Growth (as a percent) | (5.00%) |  | (11.00%) |
Total Net Sales | $ 30,239 | $ 36,529 | $ 63,588 | $ 72,282

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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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