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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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