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Business Segment Information - Schedule of Net Sales by Major Product Category by Reporting Segment (Detail) - USD ($) $ in Thousands | 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
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales | $ 121,494 | $ 113,499 | $ 115,850 | $ 109,112 | $ 121,078 | $ 111,708 | $ 111,547 | $ 108,709 | $ 459,955 | $ 453,042 | $ 433,823
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 100.00% | 100.00% | 100.00%
Bone Growth Therapies [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 197,181 | $ 195,252 | $ 185,900
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 42.90% | 43.10% | 42.90%
Spinal Implants [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 94,544 | $ 91,658 | $ 81,957
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 20.60% | 20.20% | 18.90%
Biologics [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 65,496 | $ 59,684 | $ 62,724
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 14.20% | 13.20% | 14.40%
Global Spine [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 357,221 | $ 346,594 | $ 330,581
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 77.70% | 76.50% | 76.20%
Global Extremities [Member] |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net Sales |  |  |  |  |  |  |  |  | $ 102,734 | $ 106,448 | $ 103,242
Percent of Total Net Sales |  |  |  |  |  |  |  |  | 22.30% | 23.50% | 23.80%

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- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130543-203045 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130545-203045 + Details
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