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Select Condensed Consolidated Balance Sheet Details - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Dec. 31, 2017
Property, Plant and Equipment [Line Items]          
Property and equipment, gross $ 66,737   $ 66,737   $ 67,045
Less accumulated depreciation and amortization (54,677)   (54,677)   (54,375)
Property and equipment, net 12,060   12,060   12,670
Depreciation 1,500 $ 1,600 $ 3,000 $ 3,200  
Surgical instruments          
Property, Plant and Equipment [Line Items]          
Useful lives     4 years    
Property and equipment, gross 52,288   $ 52,288   53,198
Machinery and equipment          
Property, Plant and Equipment [Line Items]          
Useful lives     7 years    
Property and equipment, gross 5,920   $ 5,920   5,503
Capital leased assets, gross 2,100   $ 2,100   2,100
Computer equipment          
Property, Plant and Equipment [Line Items]          
Useful lives     3 years    
Property and equipment, gross 3,761   $ 3,761   3,500
Office furniture and equipment          
Property, Plant and Equipment [Line Items]          
Useful lives     5 years    
Property and equipment, gross 2,856   $ 2,856   2,794
Leasehold improvements          
Property, Plant and Equipment [Line Items]          
Various useful lives of leasehold improvements     various    
Property and equipment, gross 1,759   $ 1,759   1,714
Construction in progress          
Property, Plant and Equipment [Line Items]          
Property and equipment, gross $ 153   $ 153   $ 336