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Fair Value Measurements and Investments- Schedule of Financial Assets and Liabilities Recorded at Fair Value on Recurring Basis (Detail) - Fair Value, Measurements, Recurring [Member] - USD ($) $ in Thousands | Dec. 31, 2020 | Dec. 31, 2019
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Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | $ 12,160 | $ 219
Deferred compensation plan, Liabilities | (1,441) | (1,255)
Liabilities fair value, Total | (37,216) | (43,955)
Spinal Kinetics [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Contingent consideration | (35,400) | (42,700)
Other [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Contingent consideration | (375) |
Convertible Loan Agreement [Member] | Neo Medical SA [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 7,160 |
Preferred Equity Securities [Member] | Neo Medical SA [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 5,000 |
Equity Securities [Member] | Bone Biologics Inc [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value |  | 219
Fair Value, Inputs, Level 2 [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 5,000 | 219
Deferred compensation plan, Liabilities | (1,441) | (1,255)
Liabilities fair value, Total | (1,441) | (1,255)
Fair Value, Inputs, Level 2 [Member] | Preferred Equity Securities [Member] | Neo Medical SA [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 5,000 |
Fair Value, Inputs, Level 2 [Member] | Equity Securities [Member] | Bone Biologics Inc [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value |  | 219
Fair Value, Inputs, Level 3 [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 7,160 |
Liabilities fair value, Total | (35,775) | (42,700)
Fair Value, Inputs, Level 3 [Member] | Spinal Kinetics [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Contingent consideration | (35,400) | $ (42,700)
Fair Value, Inputs, Level 3 [Member] | Other [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Contingent consideration | (375) |
Fair Value, Inputs, Level 3 [Member] | Convertible Loan Agreement [Member] | Neo Medical SA [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | $ 7,160 |

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