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Business Segment Information - Summary of Net Margin by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2016 | Sep. 30, 2016 | Jun. 30, 2016 | Mar. 31, 2016 | Dec. 31, 2015 | Sep. 30, 2015 | Jun. 30, 2015 | Mar. 31, 2015 | Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net margin |  |  |  |  |  |  |  |  | $ 140,648 | $ 131,884 | $ 136,818
General and administrative |  |  |  |  |  |  |  |  | 74,404 | 87,157 | 79,074
Research and development |  |  |  |  |  |  |  |  | 28,803 | 26,389 | 24,994
Restatements and related costs |  |  |  |  |  |  |  |  | 2,005 | 9,083 | 15,614
Charges related to U.S. Government resolutions (Note 12) |  |  |  |  |  |  |  |  | 14,369 |  |
Operating income | $ 7,416 | $ 9,271 | $ (2,695) | $ 7,075 | $ 7,380 | $ 4,139 | $ 4,928 | $ (7,192) | 21,067 | 9,255 | 17,136
Operating Segments [Member] | BioStim [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net margin |  |  |  |  |  |  |  |  | 75,469 | 67,878 | 66,096
Operating Segments [Member] | Biologics [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net margin |  |  |  |  |  |  |  |  | 26,891 | 27,226 | 26,629
Operating Segments [Member] | Extremity Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net margin |  |  |  |  |  |  |  |  | 30,526 | 29,493 | 31,586
Operating Segments [Member] | Spine Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net margin |  |  |  |  |  |  |  |  | 8,650 | 8,547 | 14,243
Corporate, Non-Segment [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net margin |  |  |  |  |  |  |  |  | (888) | (1,260) | (1,736)
Material Reconciling Items [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
General and administrative |  |  |  |  |  |  |  |  | 74,404 | 87,157 | 79,074
Research and development |  |  |  |  |  |  |  |  | 28,803 | 26,389 | 24,994
Restatements and related costs |  |  |  |  |  |  |  |  | $ 2,005 | $ 9,083 | $ 15,614

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- Definition The aggregate costs incurred (1) in a planned search or critical investigation aimed at discovery of new knowledge with the hope that such knowledge will be useful in developing a new product or service, a new process or technique, or in bringing about a significant improvement to an existing product or process; or (2) to translate research findings or other knowledge into a plan or design for a new product or process or for a significant improvement to an existing product or process whether intended for sale or the entity's use, during the reporting period charged to research and development projects, including the costs of developing computer software up to the point in time of achieving technological feasibility, and costs allocated in accounting for a business combination to in-process projects deemed to have no alternative future use. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 730 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6420194&loc=d3e21568-108373 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 985 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6501960&loc=d3e128462-111756 + Details
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