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Business Segment Information - Schedule of Net Sales 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] |  |  |  |  |  |  |  |  |  |  |
Net Sales | $ 116,896 | $ 105,247 | $ 108,942 | $ 102,738 | $ 108,537 | $ 98,497 | $ 104,075 | $ 98,679 | $ 433,823 | $ 409,788 | $ 396,489
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
BioStim [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 185,900 | $ 176,561 | $ 164,955
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 42.90% | 43.10% | 41.60%
Extremity Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 103,242 | $ 102,683 | $ 96,034
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 23.80% | 25.10% | 24.20%
Spine Fixation [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 81,957 | $ 72,632 | $ 75,668
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 18.90% | 17.70% | 19.10%
Biologics [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 62,724 | $ 57,912 | $ 59,832
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 14.40% | 14.10% | 15.10%

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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=63488584&loc=d3e20235-122688 + Details
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