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Business segment information - Operating Income (Loss) by GBU (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
Product Type Reporting Information [Line Items]
Operating Income (Loss) by GBU	$ 8,804	$ 14,298	$ 16,891	$ 32,218
Spine [Member]
Product Type Reporting Information [Line Items]
Operating Income (Loss) by GBU	15,440	16,278	30,121	38,297
Orthopedics [Member]
Product Type Reporting Information [Line Items]
Operating Income (Loss) by GBU	(1,110)	2,521	930	2,592
Corporate [Member]
Product Type Reporting Information [Line Items]
Operating Income (Loss) by GBU	$ (5,526)	$ (4,501)	$ (14,160)	$ (8,671)

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- Definition

The net result for the period of deducting operating expenses from operating revenues.

+ References

No definition available.

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