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Merger and acquisitions - Additional Information (Detail) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jan. 05, 2023
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2022
Mar. 31, 2022
Jun. 30, 2023
Jun. 30, 2022
Dec. 31, 2022
Business Acquisition [Line Items]                
Conversion of stock, shares converted 0.4163              
Goodwill   $ 191,727       $ 191,727   $ 71,317
Pre tax expense     $ 16,700          
Net sales   187,016   $ 118,070   362,220 $ 224,488  
Net loss   (39,426) $ (60,938) 2,489 $ (4,460) (100,364) (1,971)  
SeaSpine Holdings Corporation [Member]                
Business Acquisition [Line Items]                
Goodwill $ 120,410              
Direct acquisition-related costs   3,300       9,800    
Net sales   64,400       125,300    
Net loss   (24,900)       (52,800)    
Global Spine [Member]                
Business Acquisition [Line Items]                
Goodwill $ 120,400              
Net sales   $ 157,976   $ 90,782   $ 307,182 $ 173,437