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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Reporting Information [Line Items] |  |  |
Segment Adjusted EBITDA | $ 112,007 | $ 91,557 | $ 67,960
Interest expense, net | 29,631 | 8,631 | 1,288
Depreciation and amortization | 60,061 | 53,063 | 29,019
Share-based compensation expense | 32,455 | 35,707 | 18,443
Foreign exchange impact | 4,395 | (1,581) | 3,291
SeaSpine merger-related costs | 14,485 | 36,577 | 11,902
Strategic investments | 910 | 2,272 | 4,018
Acquisition-related fair value adjustments | 19,088 | 33,393 | (15,595)
Interest and loss on investments | 5,120 | 1,781 | 187
Litigation and investigation costs | 15,770 | 14,453 | 803
Succession charges | 9,376 | 1,176 | 147
Medical device regulation |  | 9,492 | 10,370
Business interruption - COVID-19 |  |  | 2,387
Loss before income taxes | (123,875) | (148,679) | (17,706)
Global Spine [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Segment Adjusted EBITDA | 107,386 | 91,115 | 62,693
Global Orthopedics [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Segment Adjusted EBITDA | 4,621 | 442 | 5,267
Operating Segments [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Segment Adjusted EBITDA | 799,491 | 746,641 | 460,713
Non-GAAP Cost of sales | 231,702 | 214,813 | 119,357
Non-GAAP Sales, general, and administrative | 439,002 | 423,642 | 261,600
Non-GAAP Research and development | 71,416 | 67,238 | 37,584
Other segment expenses (benefits) | (76) | (37) | (232)
Non-GAAP Depreciation, amortization, and share-based compensation expense | 54,560 | 50,572 | 25,556
Operating Segments [Member] | Global Spine [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Segment Adjusted EBITDA | 675,314 | 631,319 | 353,174
Non-GAAP Cost of sales | 183,064 | 166,885 | 74,573
Non-GAAP Sales, general, and administrative | 368,817 | 355,827 | 204,840
Non-GAAP Research and development | 58,262 | 56,512 | 29,220
Other segment expenses (benefits) | (22) | 45 | (183)
Non-GAAP Depreciation, amortization, and share-based compensation expense | 42,193 | 39,065 | 17,969
Operating Segments [Member] | Global Orthopedics [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Segment Adjusted EBITDA | 124,177 | 115,322 | 107,539
Non-GAAP Cost of sales | 48,638 | 47,928 | 44,784
Non-GAAP Sales, general, and administrative | 70,185 | 67,815 | 56,760
Non-GAAP Research and development | 13,154 | 10,726 | 8,364
Other segment expenses (benefits) | (54) | (82) | (49)
Non-GAAP Depreciation, amortization, and share-based compensation expense | 12,367 | 11,507 | 7,587
Corporate, Non-Segment [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Segment Adjusted EBITDA | $ 44,591 | $ 45,272 | $ 19,406

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