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Fair Value Measurements and Investments - Schedule of Valuation Methodology and Unobservable Inputs for Level 3 Assets and Liabilities Measured at Fair Value (Detail) - USD ($) $ in Thousands | 3 Months Ended
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Mar. 31, 2023 | Mar. 31, 2022
Spinal Kinetics [Member] | Fair Value, Inputs, Level 3 [Member] |  |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |  |
Spinal Kinetics contingent consideration estimated fair value at January 1 |  | $ 17,200
Decrease in fair value recognized in acquisition-related amortization and remeasurement |  | (5,500)
Spinal Kinetics contingent consideration estimated fair value at March 31 |  | $ 11,700
Neo Medical [Member] |  |
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items] |  |
Neo Medical Convertible Loan | $ 7,180 |
Fair value discount rate | 18.00% |
Estimated equity volatility | 77.50% |

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