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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2020 | Mar. 31, 2019
Segment Reporting Information [Line Items] |  |
Total EBITDA | $ 12,383 | $ 875
Depreciation and amortization | (6,327) | (5,727)
Interest expense, net | (423) | (257)
Income (loss) before income taxes | 5,633 | (5,109)
Operating Segments [Member] | Global Spine [Member] |  |
Segment Reporting Information [Line Items] |  |
Total EBITDA | 22,417 | 10,575
Operating Segments [Member] | Global Extremities [Member] |  |
Segment Reporting Information [Line Items] |  |
Total EBITDA | (1,894) | (173)
Corporate, Non-Segment [Member] |  |
Segment Reporting Information [Line Items] |  |
Total EBITDA | $ (8,140) | $ (9,527)

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