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Business Segment Information - Schedule of Net Sales by Major Product Category by Reporting Segment (Detail) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 406,562 | $ 459,955 | $ 453,042
Percent of Total Net Sales | 100.00% | 100.00% | 100.00%
Bone Growth Therapies [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 171,396 | $ 197,181 | $ 195,252
Percent of Total Net Sales | 42.20% | 42.90% | 43.10%
Spinal Implants [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 94,857 | $ 94,544 | $ 91,658
Percent of Total Net Sales | 23.30% | 20.60% | 20.20%
Biologics [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 55,482 | $ 65,496 | $ 59,684
Percent of Total Net Sales | 13.60% | 14.20% | 13.20%
Global Spine [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 321,735 | $ 357,221 | $ 346,594
Percent of Total Net Sales | 79.10% | 77.70% | 76.50%
Global Extremities [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 84,827 | $ 102,734 | $ 106,448
Percent of Total Net Sales | 20.90% | 22.30% | 23.50%

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