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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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