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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2020 | Jun. 30, 2019 | Jun. 30, 2020 | Jun. 30, 2019
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | $ (8,989) | $ 6,393 | $ 3,394 | $ 7,268
Depreciation and amortization | (6,942) | (6,178) | (13,269) | (11,905)
Interest income (expense), net | (901) | 457 | (1,324) | 200
Income (loss) before income taxes | (16,832) | 672 | (11,199) | (4,437)
Operating Segments [Member] | Global Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | (3,707) | 16,523 | 18,710 | 27,098
Operating Segments [Member] | Global Extremities [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | (3,359) | 2,750 | (5,253) | 2,577
Corporate, Non-Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | $ (1,923) | $ (12,880) | $ (10,063) | $ (22,407)

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