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Revenue Recognition and Accounts Receivable - Schedule of Net Sales by Major Product Category by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended
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Mar. 31, 2020 | Mar. 31, 2019
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 104,823 | $ 109,112
Change | (3.90%) |
Bone Growth Therapies [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 45,443 | 47,283
Change | (3.90%) |
Spinal Implants [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 22,926 | 22,903
Change | 0.10% |
Biologics [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 13,949 | 15,732
Change | (11.30%) |
Global Spine [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 82,318 | 85,918
Change | (4.20%) |
Global Extremities [Member] |  |
Revenue Recognition And Accounts Receivable [Line Items] |  |
Net sales | $ 22,505 | $ 23,194
Change | (3.00%) |

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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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