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Significant Accounting Policies - Additional Information (Detail) - USD ($) | 3 Months Ended | 12 Months Ended |  |
--- | --- | --- | --- | ---
Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017 | Jul. 31, 2018 | Apr. 30, 2018
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Net sales | $ 121,494,000 | $ 113,499,000 | $ 115,850,000 | $ 109,112,000 | $ 121,078,000 | $ 111,708,000 | $ 111,547,000 | $ 108,709,000 | $ 459,955,000 | $ 453,042,000 | $ 433,823,000 |  |
Freezing amount in cash resulted from court pending legal action issued |  | $ 700,000 |  |  | $ 2,600,000 |  |  |  |  | 2,600,000 |  | $ 2,500,000 |
Advertising costs |  |  |  |  |  |  |  |  | 800,000 | 600,000 | 700,000 |  |
Spinal Kinetics [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
In-process research and development costs |  |  |  |  |  |  |  |  |  |  |  |  | $ 26,800,000
Musculoskeletal Transplant Foundation ("MTF") [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Expenditures for other research and development |  |  |  |  |  |  |  |  | 0 | 0 | 900,000 |  |
Customers and Distributors Based in Europe [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 69,000,000 |  |  |  |
Maximum [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Transactional foreign currency gains and (losses), including those generated from intercompany operations |  |  |  |  |  |  |  |  | $ (1,400,000) | (3,300,000) | $ 1,900,000 |  |
General and administrative [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Decreases to general and administrative expenses |  |  |  |  |  |  |  |  |  | $ (1,300,000) |  |  |

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