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Business Segment Information - Schedule of Net Sales by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
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Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 111,547 | $ 108,942 | $ 220,256 | $ 211,680
Change | 2.40% |  | 4.10% |
BioStim [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 48,211 | 47,174 | $ 94,374 | 91,713
Change | 2.20% |  | 2.90% |
Biologics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 14,668 | 15,661 | $ 29,003 | 30,648
Change | (6.30%) |  | (5.40%) |
Extremity Fixation [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 24,788 | 24,747 | $ 52,292 | 48,692
Change | 0.20% |  | 7.40% |
Spine Fixation [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 23,880 | $ 21,360 | $ 44,587 | $ 40,627
Change | 11.80% |  | 9.70% |

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- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130543-203045 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130539-203045 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130545-203045 + Details
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