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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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