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Mergers and acquisitions - Summary of Restructuring Costs (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Mar. 31, 2023 | Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Restructuring Cost and Reserve [Line Items] |  |  |  |
Charges Incurred | $ 18,200 | $ 1,176 | $ 147 | $ 739
Retention Costs [Member] | Seaspine Holdings Corporation [Member] |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Charges Incurred |  | 18,200 |  |
Payments Made / Currency Translation Adjustment |  | (11,200) |  |
Balance as of December 31, 2023 |  | 7,000 |  |
U.S. Severance Costs [Member] | Seaspine Holdings Corporation [Member] |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Charges Incurred |  | 11,200 |  |
Payments Made / Currency Translation Adjustment |  | (10,200) |  |
Balance as of December 31, 2023 |  | 1,000 |  |
U S Retention Costs [Member] | Seaspine Holdings Corporation [Member] |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Charges Incurred |  | 5,300 |  |
Payments Made / Currency Translation Adjustment |  | (300) |  |
Balance as of December 31, 2023 |  | 5,000 |  |
U S Payroll Taxes [Member] | Seaspine Holdings Corporation [Member] |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Charges Incurred |  | 700 |  |
Payments Made / Currency Translation Adjustment |  | (400) |  |
Balance as of December 31, 2023 |  | 300 |  |
International Spine Restructuring Severance [Member] | Seaspine Holdings Corporation [Member] |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Charges Incurred |  | 1,000 |  |
Payments Made / Currency Translation Adjustment |  | (300) |  |
Balance as of December 31, 2023 |  | $ 700 |  |

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