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Business Segment Information - Summary of Non-GAAP Net Margin by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2016 | Sep. 30, 2016 | Jun. 30, 2016 | Mar. 31, 2016 | Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Non-GAAP net margin |  |  |  |  |  |  |  |  | $ 142,416 | $ 140,648 | $ 131,884
General and administrative |  |  |  |  |  |  |  |  | 74,388 | 74,404 | 87,157
Research and development |  |  |  |  |  |  |  |  | 29,700 | 28,803 | 26,389
SEC / FCPA matters and related costs |  |  |  |  |  |  |  |  | (2,483) | 2,005 | 9,083
Charges related to U.S. Government resolutions |  |  |  |  |  |  |  |  |  | 14,369 |
Operating income | $ 17,860 | $ 9,034 | $ 7,998 | $ 5,919 | $ 7,416 | $ 9,271 | $ (2,695) | $ 7,075 | 40,811 | 21,067 | 9,255
Interest income (expense), net |  |  |  |  |  |  |  |  | (416) | 763 | (489)
Other expense, net |  |  |  |  |  |  |  |  | (4,004) | (2,806) | (259)
Income before income taxes |  |  |  |  |  |  |  |  | 36,391 | 19,024 | 8,507
Operating Segments [Member] | BioStim [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Non-GAAP net margin |  |  |  |  |  |  |  |  | 77,369 | 75,469 | 67,878
Operating Segments [Member] | Extremity Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Non-GAAP net margin |  |  |  |  |  |  |  |  | 31,071 | 30,526 | 29,493
Operating Segments [Member] | Spine Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Non-GAAP net margin |  |  |  |  |  |  |  |  | 8,730 | 8,650 | 8,547
Operating Segments [Member] | Biologics [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Non-GAAP net margin |  |  |  |  |  |  |  |  | 25,692 | 26,891 | 27,226
Corporate, Non-Segment [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Non-GAAP net margin |  |  |  |  |  |  |  |  | (446) | (888) | (1,260)
Material Reconciling Items [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
General and administrative |  |  |  |  |  |  |  |  | 74,388 | 74,404 | 87,157
Research and development |  |  |  |  |  |  |  |  | 29,700 | 28,803 | 26,389
SEC / FCPA matters and related costs |  |  |  |  |  |  |  |  | $ (2,483) | $ 2,005 | $ 9,083

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- Definition Amount of gain (loss) recognized in settlement of litigation and insurance claims. Excludes claims within an insurance entity's normal claims settlement process. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 450 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=25496072&loc=d3e14326-108349 + Details
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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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