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Consolidated Statements of Changes in Shareholders' Equity - USD ($) $ in Thousands | Total | Common Shares [Member] | Additional Paid-in Capital [Member] | Retained Earnings (Accumulated Deficit) [Member] | Accumulated Other Comprehensive Income (Loss) [Member]
--- | --- | --- | --- | --- | ---
Beginning Balance at Dec. 31, 2020 | $ 356,864 | $ 1,942 | $ 292,291 | $ 59,379 | $ 3,252
Balance, Shares at Dec. 31, 2020 |  | 19,424 |  |  |
Net loss | (38,379) |  |  | (38,379) |
Other comprehensive income (loss), net of tax | (3,252) |  |  |  | (3,252)
Share-based compensation expense | 15,432 |  | 15,432 |  |
Common shares issued, net | 6,269 | $ 41 | 6,228 |  |
Common shares issued, net, Shares |  | 413 |  |  |
Ending Balance at Dec. 31, 2021 | 336,934 | $ 1,983 | 313,951 | 21,000 |
Balance, Shares at Dec. 31, 2021 |  | 19,837 |  |  |
Net loss | (19,749) |  |  | (19,749) |
Other comprehensive income (loss), net of tax | (1,376) |  |  |  | (1,376)
Share-based compensation expense | 18,443 |  | 18,443 |  |
Common shares issued, net | 2,608 | $ 33 | 2,575 |  |
Common shares issued, net, Shares |  | 325 |  |  |
Ending Balance at Dec. 31, 2022 | $ 336,860 | $ 2,016 | 334,969 | 1,251 | (1,376)
Balance, Shares at Dec. 31, 2022 | 20,162,000 | 20,162 |  |  |
Net loss | $ (151,395) |  |  | (151,395) |
Other comprehensive income (loss), net of tax | 83 |  |  |  | 83
Share-based compensation expense | 35,707 |  | 35,707 |  |
Common shares issued in connection with SeaSpine merger | 376,745 | $ 1,605 | 375,140 |  |
Common shares issued in connection with SeaSpine merger, Shares |  | 16,047 |  |  |
Common shares issued, net | 730 | $ 96 | 634 |  |
Common shares issued, net, Shares |  | 956 |  |  |
Ending Balance at Dec. 31, 2023 | $ 598,730 | $ 3,717 | $ 746,450 | $ (150,144) | $ (1,293)
Balance, Shares at Dec. 31, 2023 | 37,165,000 | 37,165 |  |  |

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