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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | $ (20,753) | $ 3,591 | $ (13,485) | $ 25,568
Depreciation and amortization | (6,275) | (4,738) | (18,180) | (13,661)
Interest income (expense), net | 186 | (181) | 386 | (615)
Income (loss) before income taxes | (26,842) | (1,328) | (31,279) | 11,292
Operating Segments [Member] | Global Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | (6,033) | 15,637 | 21,065 | 53,492
Operating Segments [Member] | Global Extremities [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | 1,229 | 3,357 | 3,806 | 7,173
Corporate, Non-Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | $ (15,949) | $ (15,403) | $ (38,356) | $ (35,097)

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