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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, 2021 | Dec. 31, 2020
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Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | $ 14,375 | $ 12,160
Deferred compensation plan, Liabilities | (1,314) | (1,441)
Liabilities fair value, Total | (18,514) | (37,216)
Spinal Kinetics [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Contingent consideration | (17,200) | (35,400)
Other [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Contingent consideration |  | (375)
Convertible Loan Agreement [Member] | Neo Medical [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 7,148 | 7,160
Preferred Equity Securities [Member] | Neo Medical [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 5,413 | 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 | 309 |
Other Investments [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 1,505 |
Fair Value, Inputs, Level 1 [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 309 |
Fair Value, Inputs, Level 1 [Member] | Equity Securities [Member] | Bone Biologics Inc [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 309 |
Fair Value, Inputs, Level 2 [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 5,413 | 5,000
Deferred compensation plan, Liabilities | (1,314) | (1,441)
Liabilities fair value, Total | (1,314) | (1,441)
Fair Value, Inputs, Level 2 [Member] | Preferred Equity Securities [Member] | Neo Medical [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 5,413 | 5,000
Fair Value, Inputs, Level 3 [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 8,653 | 7,160
Liabilities fair value, Total | (17,200) | (35,775)
Fair Value, Inputs, Level 3 [Member] | Spinal Kinetics [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Contingent consideration | (17,200) | (35,400)
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 [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | 7,148 | $ 7,160
Fair Value, Inputs, Level 3 [Member] | Other Investments [Member] |  |
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items] |  |
Assets fair value | $ 1,505 |

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