Revenue Recognition and Accounts Receivable - Schedule of Net Sales by Major Product Category by Reporting Segment (Detail) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Revenue Recognition And Accounts Receivable [Line Items]
Net sales	$ 106,418	$ 105,593
Change	0.80%
Bone Growth Therapies [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Net sales	$ 41,948	42,947
Change	(2.30%)
Spinal Implants [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Net sales	$ 26,615	25,701
Change	3.60%
Biologics [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Net sales	$ 14,092	13,692
Change	2.90%
Global Spine [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Net sales	$ 82,655	82,340
Change	0.40%
Global Orthopedics [Member]
Revenue Recognition And Accounts Receivable [Line Items]
Net sales	$ 23,763	$ 23,253
Change	2.20%