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Merger and acquisitions - Additional Information (Detail) - USD ($) $ in Thousands		3 Months Ended						9 Months Ended
	Jan. 05, 2023	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2024	Sep. 30, 2023
Business Acquisition [Line Items]
Conversion of stock, shares converted	0.4163
Net sales		$ 196,606			$ 184,006			$ 583,834	$ 546,226
Net loss		(27,388)	$ (33,443)	$ (36,020)	(28,857)	$ (39,426)	$ (60,938)	(96,851)	(129,221)
SeaSpine Holdings Corporation [Member]
Business Acquisition [Line Items]
Direct acquisition-related costs		100			100			100	9,900
Net sales		72,100			62,900			214,100	188,200
Net loss		$ 18,400			$ 19,200			$ 53,100	$ 72,100

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