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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2019 | Mar. 31, 2018
Segment Reporting Information [Line Items] |  |
Total EBITDA | $ 875 | $ 15,151
Depreciation and amortization | (5,727) | (4,369)
Interest expense, net | (257) | (183)
Income (loss) before income taxes | (5,109) | 10,599
Operating Segments [Member] | Global Spine [Member] |  |
Segment Reporting Information [Line Items] |  |
Total EBITDA | 10,575 | 18,825
Operating Segments [Member] | Global Extremities [Member] |  |
Segment Reporting Information [Line Items] |  |
Total EBITDA | (173) | 3,328
Corporate, Non-Segment [Member] |  |
Segment Reporting Information [Line Items] |  |
Total EBITDA | $ (9,527) | $ (7,002)

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