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Goodwill - Schedule of Changes in Net Carrying Amount of Goodwill (Detail) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended	9 Months Ended	12 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Jun. 30, 2013	Sep. 30, 2013	Dec. 31, 2012
Goodwill [Line Items]
Beginning balance	$ 72,758		$ 74,388	$ 74,388	$ 73,094
Reallocation
Impairment	(19,193)			(19,193)
Foreign currency	1,840		(1,630)		1,294
Ending balance	55,405		72,758	55,405	74,388
Spine [Member]
Goodwill [Line Items]
Beginning balance	41,401		41,564	41,564	41,419
Reallocation	(41,401)
Impairment
Foreign currency			(163)		145
Ending balance			41,401		41,564
Orthopedics [Member]
Goodwill [Line Items]
Beginning balance	31,357		32,824	32,824	31,675
Reallocation	(31,357)
Impairment
Foreign currency			(1,467)		1,149
Ending balance			31,357		32,824
BioStim [Member]
Goodwill [Line Items]
Beginning balance
Reallocation	42,678
Impairment
Foreign currency	1,472
Ending balance	44,150			44,150
Biologics [Member]
Goodwill [Line Items]
Beginning balance
Reallocation	10,887
Impairment
Foreign currency	368
Ending balance	11,255			11,255
Spine Fixation [Member]
Goodwill [Line Items]
Beginning balance
Reallocation	9,368
Impairment	(9,368)
Foreign currency
Ending balance
Extremity Fixation [Member]
Goodwill [Line Items]
Beginning balance
Reallocation	9,825
Impairment	(9,825)
Foreign currency
Ending balance

X

- Definition

Goodwill Reallocation

+ References

No definition available.

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- Definition

Carrying amount as of the balance sheet date, which is the cumulative amount paid and (if applicable) the fair value of any noncontrolling interest in the acquiree, adjusted for any amortization recognized prior to the adoption of any changes in generally accepted accounting principles (as applicable) and for any impairment charges, in excess of the fair value of net assets acquired in one or more business combination transactions.

+ References

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-Name Statement of Financial Accounting Standard (FAS)

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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.



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-Publisher FASB

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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.



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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.



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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.



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- Definition

Loss recognized during the period that results from the write-down of goodwill after comparing the implied fair value of reporting unit goodwill with the carrying amount of that goodwill. Goodwill is assessed at least annually for impairment.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.



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-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

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-Paragraph 72

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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.



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- Definition

The increase (decrease) to the recorded value of goodwill for foreign currency translation adjustments.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

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