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Share-based Compensation - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Aug. 05, 2019
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Shares issued under stock purchase plan, stock option exercises and restricted stock awards and units   40,812 80,444 251,893 206,955
Share-based compensation expense   $ 5,849 $ 5,215 $ 11,534 $ 9,131
Transition and Retirement Agreement [Member]          
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Share based compensation, post-termination exercise period original term       18 months  
Maximum [Member] | Transition and Retirement Agreement [Member]          
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Share based compensation, post-termination exercise period revised term       4 years  
President and Chief Executive Officer [Member] | Transition and Retirement Agreement [Member]          
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Share-based compensation expense   $ 1,500   $ 3,700  
Subsequent Event [Member] | Employment Agreement [Member] | Global Spine [Member] | Inducement Grants [Member]          
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Share issued under restricted stock units and stock options, value $ 1,500