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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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