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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | $ 27,867 | $ 21,123 | $ 46,265 | $ 36,148
Corporate operating expenses | 11,234 | 11,204 | 21,967 | 23,025
Interest expense, net | 4,943 | 1,266 | 9,501 | 2,555
Depreciation and amortization | 14,032 | 13,327 | 28,894 | 25,997
Share-based compensation expense | 9,959 | 13,246 | 18,759 | 26,266
Foreign exchange impact | 851 | (269) | 2,439 | (852)
SeaSpine merger-related costs | 5,897 | 8,206 | 10,376 | 28,946
Strategic investments | 311 | 309 | 431 | 970
Acquisition-related fair value adjustments | 6,117 | 8,149 | 10,334 | 19,785
Interest and loss on investments | 1,813 |  | 1,553 |
Litigation and investigation costs | (277) | 1,291 | 1,983 | 1,760
Succession charges | 5,346 | 262 | 7,556 | 262
Medical device regulation |  | 2,050 |  | 5,679
Loss before income taxes | (32,359) | (37,918) | (67,528) | (98,245)
Operating Segments [Member] | Global Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | 27,688 | 21,258 | 47,578 | 36,239
Operating Segments [Member] | Global Orthopedics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | $ 179 | $ (135) | $ (1,313) | $ (91)

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