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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2019 | Jun. 30, 2018 | Jun. 30, 2019 | Jun. 30, 2018
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | $ 6,393 | $ 6,826 | $ 7,268 | $ 21,977
Depreciation and amortization | (6,178) | (4,554) | (11,905) | (8,923)
Interest income (expense), net | 457 | (251) | 200 | (434)
Income (loss) before income taxes | 672 | 2,021 | (4,437) | 12,620
Operating Segments [Member] | Global Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | 16,523 | 19,030 | 27,098 | 37,855
Operating Segments [Member] | Global Extremities [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | 2,750 | 488 | 2,577 | 3,816
Corporate, Non-Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | $ (12,880) | $ (12,692) | $ (22,407) | $ (19,694)

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