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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) | 12 Months Ended
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Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Segment Reporting Information [Line Items] |  |  |
Total EBITDA | $ 29,697,000 | $ 32,661,000 | $ (2,228,000)
Depreciation and amortization | (29,599,000) | (30,546,000) | (24,699,000)
Goodwill, Impairment | (11,756,000) |  |
Interest expense, net | (1,837,000) | (2,483,000) | (122,000)
Loss before income taxes | (13,495,000) | (368,000) | (27,049,000)
Global Spine [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Goodwill, Impairment | 0 |  |
Global Orthopedics [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Goodwill, Impairment | (11,756,000) |  |
Operating Segments [Member] | Global Spine [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Total EBITDA | 58,014,000 | 63,036,000 | 39,528,000
Operating Segments [Member] | Global Orthopedics [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Total EBITDA | 3,374,000 | (4,993,000) | 7,496,000
Corporate, Non-Segment [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Total EBITDA | $ (31,691,000) | $ (25,382,000) | $ (49,252,000)

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