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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
	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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Percentage of reported increase decrease.

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Revenue recognition and accounts receivable.

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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
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-URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130543-203045

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-Publisher FASB
-Name Accounting Standards Codification
-Topic 606
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-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

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