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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 | 6 Months Ended
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Jun. 30, 2019 | Jun. 30, 2018 | Jun. 30, 2019 | Jun. 30, 2018
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |
Net sales | $ 115,850 | $ 111,547 | $ 224,962 | $ 220,256
Change | 3.90% |  | 2.10% |
Bone Growth Therapies [Member] |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |
Net sales | $ 50,109 | 48,211 | $ 97,392 | 94,374
Change | 3.90% |  | 3.20% |
Spinal Implants [Member] |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |
Net sales | $ 23,226 | 23,880 | $ 46,129 | 44,587
Change | (2.70%) |  | 3.50% |
Biologics [Member] |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |
Net sales | $ 16,744 | 14,668 | $ 32,476 | 29,003
Change | 14.20% |  | 12.00% |
Global Spine [Member] |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |
Net sales | $ 90,079 | 86,759 | $ 175,997 | 167,964
Change | 3.80% |  | 4.80% |
Global Extremities [Member] |  |  |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |  |  |
Net sales | $ 25,771 | $ 24,788 | $ 48,965 | $ 52,292
Change | 4.00% |  | (6.40%) |

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