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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2020 | Sep. 30, 2019 | Sep. 30, 2020 | Sep. 30, 2019
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | $ 15,022 | $ (20,753) | $ 18,416 | $ (13,485)
Depreciation and amortization | (9,030) | (6,275) | (22,299) | (18,180)
Interest income (expense), net | (731) | 186 | (2,055) | 386
Income (loss) before income taxes | 5,261 | (26,842) | (5,938) | (31,279)
Operating Segments [Member] | Global Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | 19,960 | (6,033) | 38,670 | 21,065
Operating Segments [Member] | Global Extremities [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | 1,258 | 1,229 | (3,995) | 3,806
Corporate, Non-Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total EBITDA | $ (6,196) | $ (15,949) | $ (16,259) | $ (38,356)

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