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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | $ 30,066 | $ 23,070 | $ 76,331 | $ 59,218
Corporate operating expenses | 10,886 | 9,549 | 32,853 | 32,574
Interest expense, net | 5,210 | 1,576 | 14,711 | 4,131
Depreciation and amortization | 15,173 | 13,097 | 44,067 | 39,094
Share-based compensation expense | 6,531 | 6,274 | 25,290 | 32,540
Foreign exchange impact | (1,176) | 1,909 | 1,263 | 1,057
SeaSpine merger-related costs | 2,616 | 5,416 | 12,992 | 34,362
Strategic investments | 39 | 484 | 470 | 1,454
Acquisition-related fair value adjustments | 5,017 | 7,122 | 15,351 | 26,907
Interest and loss on investments | 3,567 | 429 | 5,120 | 429
Litigation and investigation costs | 8,335 | 3,851 | 10,318 | 5,611
Succession charges | 505 | (92) | 8,061 | 170
Medical device regulation |  | 1,840 |  | 7,519
Loss before income taxes | (26,637) | (28,385) | (94,165) | (126,630)
Operating Segments [Member] | Global Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | 26,795 | 22,593 | 74,373 | 58,832
Operating Segments [Member] | Global Orthopedics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Adjusted EBITDA | $ 3,271 | $ 477 | $ 1,958 | $ 386

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