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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, 2025 | Jun. 30, 2024 | Jun. 30, 2025 | Jun. 30, 2024
Segment Reporting Information [Line Items] |  |  |  |
Segment Adjusted EBITDA | $ 28,918 | $ 27,867 | $ 48,407 | $ 46,265
Interest expense, net | 3,950 | 4,943 | 8,456 | 9,501
Depreciation and amortization | 16,871 | 14,032 | 51,302 | 28,894
Share-based compensation expense | 7,824 | 9,959 | 14,293 | 18,759
Foreign exchange impact | (2,751) | 851 | (3,795) | 2,439
SeaSpine merger-related costs | 4,886 | 5,897 | 6,016 | 10,376
Restructuring costs and impairments related to M6 product lines | 3,354 |  | 15,480 |
Strategic investments | 353 | 311 | 3,867 | 431
Acquisition-related fair value adjustments | (763) | 6,117 | (1,373) | 10,334
Interest and loss on investments | (31) | 1,813 | (31) | 1,553
Litigation and investigation costs | 4,029 | (277) | 7,071 | 1,983
Employee retention credit | (2,854) |  | (2,854) |
Succession charges |  | 5,346 |  | 7,556
Loss before income taxes | (14,223) | (32,359) | (66,356) | (67,528)
Global Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Segment Adjusted EBITDA | 26,433 | 27,688 | 45,949 | 47,578
Global Orthopedics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Segment Adjusted EBITDA | 2,485 | 179 | 2,458 | (1,313)
Operating Segments [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Segment Adjusted EBITDA | 203,121 | 198,620 | 396,767 | 387,228
Non-GAAP cost of sales | 55,077 | 56,427 | 111,535 | 112,128
Non-GAAP Sales, general, and administrative | 115,159 | 111,917 | 225,619 | 221,876
Non-GAAP Research and development | 14,435 | 17,660 | 28,910 | 36,917
Other segment expenses (benefits) | 2,470 | (134) | 6,738 | (209)
Non-GAAP Depreciation, amortization, and share-based compensation expense | 12,938 | 15,117 | 24,442 | 29,749
Operating Segments [Member] | Global Spine [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Segment Adjusted EBITDA | 169,824 | 168,034 | 333,660 | 329,327
Non-GAAP cost of sales | 42,811 | 43,958 | 87,398 | 88,812
Non-GAAP Sales, general, and administrative | 97,169 | 92,542 | 189,708 | 184,354
Non-GAAP Research and development | 11,761 | 14,118 | 23,384 | 30,063
Other segment expenses (benefits) | 2,464 | (170) | 6,907 | (137)
Non-GAAP Depreciation, amortization, and share-based compensation expense | 10,814 | 10,102 | 19,686 | 21,343
Operating Segments [Member] | Global Orthopedics [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Segment Adjusted EBITDA | 33,297 | 30,586 | 63,107 | 57,901
Non-GAAP cost of sales | 12,266 | 12,469 | 24,137 | 23,316
Non-GAAP Sales, general, and administrative | 17,990 | 19,375 | 35,911 | 37,522
Non-GAAP Research and development | 2,674 | 3,542 | 5,526 | 6,854
Other segment expenses (benefits) | 6 | 36 | (169) | (72)
Non-GAAP Depreciation, amortization, and share-based compensation expense | 2,124 | 5,015 | 4,756 | 8,406
Corporate, Non-Segment [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Segment Adjusted EBITDA | $ 8,273 | $ 11,234 | $ 16,331 | $ 21,967

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