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Revenue Recognition and Accounts Receivable - Schedule of Net Sales Major Product Category by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended
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Mar. 31, 2019 | Mar. 31, 2018
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 109,112 | $ 108,709
Change | 0.40% |
Bone Growth Therapies [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 47,283 | 46,163
Change | 2.40% |
Spinal Implants [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 22,903 | 20,707
Change | 10.60% |
Biologics [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 15,732 | 14,335
Change | 9.70% |
Global Spine [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 85,918 | 81,205
Change | 5.80% |
Global Extremities [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 23,194 | $ 27,504
Change | (15.70%) |

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