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Segment and Geographical Information - Schedule of Long Lived Assets by Geographical Areas (Details) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2015
Dec. 31, 2014
Revenues from External Customers and Long-Lived Assets [Line Items]    
Total consolidated assets $ 320,106us-gaap_Assets $ 344,923us-gaap_Assets
Reportable Geographical Components [Member] | United States [Member]    
Revenues from External Customers and Long-Lived Assets [Line Items]    
Total consolidated assets 191,378us-gaap_Assets
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ReportableGeographicalComponentsMember
/ us-gaap_StatementGeographicalAxis
= country_US
200,978us-gaap_Assets
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ReportableGeographicalComponentsMember
/ us-gaap_StatementGeographicalAxis
= country_US
Reportable Geographical Components [Member] | International [Member]    
Revenues from External Customers and Long-Lived Assets [Line Items]    
Total consolidated assets $ 128,728us-gaap_Assets
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ReportableGeographicalComponentsMember
/ us-gaap_StatementGeographicalAxis
= atec_InternationalMember
$ 143,945us-gaap_Assets
/ us-gaap_ConsolidationItemsAxis
= us-gaap_ReportableGeographicalComponentsMember
/ us-gaap_StatementGeographicalAxis
= atec_InternationalMember