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Acquisitions - Additional Information (Detail) - USD ($) |  |  |  | 12 Months Ended
--- | --- | --- | --- | ---
Feb. 06, 2019 | Jan. 31, 2019 | Apr. 30, 2018 | Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
Business Acquisition [Line Items] |  |  |  |  |  |
Goodwill |  |  |  | $ 71,177,000 | $ 72,401,000 |
Assigned Useful Life |  |  |  | 9 years |  |
Consideration for the assets acquired |  | $ 6,400,000 |  |  |  |
Developed Technology [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Business acquisition, transfer from indefinite lived intangible assets to finite lived intangible assets | $ 26,800,000 |  |  |  |  |
Assigned Useful Life | 10 years |  |  | 10 years |  |
Spinal Kinetics [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Business acquisition date |  |  | Apr. 30, 2018 |  |  |
Business acquisition conversion of shares into net cash subject to adjustments |  |  | $ 45,000,000.0 |  |  |
Fair value of the consideration transferred |  |  | $ 76,600,000 | $ 76,600,000 |  |
Milestone achievement period |  |  | 5 years | 12 months |  |
Goodwill |  |  | $ 17,612,000 |  |  |
Acquisition related costs |  |  |  | $ 0 | 3,300,000 | $ 800,000
Net sales from acquisition |  |  |  | 12,400,000 | 8,700,000 |
Net loss from Acquisition |  |  |  | 9,300,000 | $ 5,800,000 |
Spinal Kinetics [Member] | Developed Technology [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Business acquisition, transfer from indefinite lived intangible assets to finite lived intangible assets | $ 26,800,000 |  |  |  |  |
Assigned Useful Life | 10 years |  | 10 years |  |  |
Spinal Kinetics [Member] | Spinal Implants [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Goodwill |  |  |  | $ 17,600,000 |  |
Spinal Kinetics [Member] | US Food And Drug Administration [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Future milestone payments | $ 15,000,000.0 |  | $ 15,000,000.0 |  |  |
Spinal Kinetics [Member] | Revenue Milestone [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Future milestone payments |  |  | 45,000,000.0 |  |  |
Spinal Kinetics [Member] | Maximum [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Future milestone payments |  |  | $ 60,000,000.0 |  |  |

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- Definition Business combination recognized identifiable assets acquired and liabilities assumed transfer from indefinite lived intangible assets to finite lived intangible assets. + References No definition available. + Details
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- Definition This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 25 -Paragraph 23 -URI http://asc.fasb.org/extlink&oid=116868678&loc=d3e1043-128460 + Details
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- Definition Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=116859721&loc=d3e6613-128477 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e6927-128479 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=116859721&loc=d3e6578-128477 + Details
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