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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 | 9 Months Ended
--- | --- | ---
Sep. 30, 2013 | Sep. 30, 2012 | Sep. 30, 2013 | Sep. 30, 2012
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (14.00%) |  | (11.00%) |
Constant Currency Growth (as a percent) | (15.00%) |  | (11.00%) |
Total Net Sales | $ 92,738 | $ 107,857 | $ 294,391 | $ 330,216
BioStim [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (25.00%) |  | (20.00%) |
Constant Currency Growth (as a percent) | (28.00%) |  | (20.00%) |
Total Net Sales | 31,604 | 42,310 | 108,445 | 134,741
Biologics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | 2.00% |  |  |
Constant Currency Growth (as a percent) | 2.00% |  |  |
Total Net Sales | 13,212 | 12,951 | 39,827 | 39,792
Spine Fixation [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (7.00%) |  | (1.00%) |
Constant Currency Growth (as a percent) | (7.00%) |  | (1.00%) |
Total Net Sales | 23,221 | 25,001 | 71,994 | 72,972
Extremity Fixation [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Reported Growth (as a percent) | (10.00%) |  | (10.00%) |
Constant Currency Growth (as a percent) | (9.00%) |  | (8.00%) |
Total Net Sales | $ 24,701 | $ 27,595 | $ 74,125 | $ 82,711

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- Definition Represents the percentage of growth rate by each segment as reported by the entity. + References No definition available. + 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=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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