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Business Segment Information - Schedule of Net Sales by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
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Sep. 30, 2018 | Sep. 30, 2017 | Sep. 30, 2018 | Sep. 30, 2017
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 111,708 | $ 105,247 | $ 331,964 | $ 316,927
Change | 6.10% |  | 4.70% |
Bone Growth Therapies [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 48,059 | 44,427 | $ 142,433 | 136,140
Change | 8.20% |  | 4.60% |
Spinal Implants [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 22,102 | 20,155 | $ 66,689 | 60,782
Change | 9.70% |  | 9.70% |
Biologics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 14,636 | 15,218 | $ 43,639 | 45,866
Change | (3.80%) |  | (4.90%) |
Orthofix Extremities [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 26,911 | $ 25,447 | $ 79,203 | $ 74,139
Change | 5.80% |  | 6.80% |

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