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Income Taxes - Additional Information (Detail) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Components Of Income Tax Expense Benefit [Line Items] |  |  |
Tax paid (received or refunded) cash | $ 900 | $ (900) | $ 4,800
Unremitted foreign earnings | $ 33,600 |  |
Minimum percentage of income tax benefit | 50.00% |  |
Gross unrecognized tax benefit | $ 3,000 | 1,700 |
Net interest and penalties on unrecognized tax benefits | 200 | 100 | $ (400)
Accrued interest and penalties related to unrecognized tax benefits | 100 | 900 |
Unrecognized tax benefits that would impact effective tax rate | 400 |  |
Unrecognized tax benefits expected reduction |  | $ (1,637) |
Decrease in unrecognized tax benefits, exclusive of interest and penalties | 1,200 |  |
SeaSpine [Member] |  |  |
Components Of Income Tax Expense Benefit [Line Items] |  |  |
Net increase in valuation allowance | 116,400 |  |
State [Member] |  |  |
Components Of Income Tax Expense Benefit [Line Items] |  |  |
Operating loss carry forwards, net of tax | 221,400 |  |
State [Member] | SeaSpine [Member] |  |  |
Components Of Income Tax Expense Benefit [Line Items] |  |  |
Operating loss carry forwards, net of tax | $ 157,900 |  |
Operating loss carryforwards, expiration year | 2024 |  |
State [Member] | Spinal Kinetics [Member] |  |  |
Components Of Income Tax Expense Benefit [Line Items] |  |  |
Operating loss carry forwards, net of tax | $ 20,600 |  |
Operating loss carryforwards, expiration year | 2027 |  |
Federal [Member] |  |  |
Components Of Income Tax Expense Benefit [Line Items] |  |  |
Operating loss carry forwards, net of tax | $ 331,700 |  |
Operating loss carryforwards, expiration year | 2026 |  |
Research and development credits | $ 4,700 |  |
Foreign Tax Authority |  |  |
Components Of Income Tax Expense Benefit [Line Items] |  |  |
Operating loss carry forwards, net of tax | $ 129,000 |  |
Operating loss carryforwards, expiration year | 2041 |  |
Research and development credits | $ 900 |  |

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