Business Segment Information - Schedule of Net Sales by Major Product Category by Reporting Segment (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Segment Reporting Information [Line Items]
Net Sales	$ 460,713	$ 464,479	$ 406,562
Percent of Total Net Sales	100.00%	100.00%	100.00%
Bone Growth Therapies [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 187,247	$ 187,448	$ 171,396
Percent of Total Net Sales	40.70%	40.40%	42.20%
Spinal Implants [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 109,546	$ 115,094	$ 94,857
Percent of Total Net Sales	23.80%	24.80%	23.30%
Biologics [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 56,381	$ 56,421	$ 55,482
Percent of Total Net Sales	12.20%	12.10%	13.60%
Global Spine [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 353,174	$ 358,963	$ 321,735
Percent of Total Net Sales	76.70%	77.30%	79.10%
Global Orthopedics [Member]
Segment Reporting Information [Line Items]
Net Sales	$ 107,539	$ 105,516	$ 84,827
Percent of Total Net Sales	23.30%	22.70%	20.90%