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Business Segment Information - Summary of Net Sales by Geographic Destination for Each Reporting Segment (Detail) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales $ 73,135 $ 115,850 $ 177,958 $ 224,962
Global Spine [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales 58,098 90,079 140,416 175,997
Global Extremities [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales 15,037 25,771 37,542 48,965
U.S. [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales 59,276 91,445 142,425 177,569
U.S. [Member] | Global Spine [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales 55,236 84,601 132,342 164,127
U.S. [Member] | Global Extremities [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales 4,040 6,844 10,083 13,442
International [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales 13,859 24,405 35,533 47,393
International [Member] | Global Spine [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales 2,862 5,478 8,074 11,870
International [Member] | Global Extremities [Member]        
Revenues from External Customers and Long-Lived Assets [Line Items]        
Net sales $ 10,997 $ 18,927 $ 27,459 $ 35,523