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Business Segment Information - Schedule of Net Sales by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
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Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales | $ 121,078 | $ 111,708 | $ 111,547 | $ 108,709 | $ 116,896 | $ 105,247 | $ 108,942 | $ 102,738 | $ 453,042 | $ 433,823 | $ 409,788
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Bone Growth Therapies [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 195,252 | $ 185,900 | $ 176,561
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 43.10% | 42.90% | 43.10%
Spinal Implants [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 91,658 | $ 81,957 | $ 72,632
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 20.20% | 18.90% | 17.70%
Biologics [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 59,684 | $ 62,724 | $ 57,912
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 13.20% | 14.40% | 14.10%
Orthofix Extremities [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 106,448 | $ 103,242 | $ 102,683
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 23.50% | 23.80% | 25.10%

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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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