Business Segment Information - Summary of Net Sales by Geographic Destination for Each Reporting Segment (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	$ 460,713	$ 464,479	$ 406,562
Global Spine [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	353,174	358,963	321,735
Global Orthopedics [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	107,539	105,516	84,827
U.S. [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	358,843	361,945	327,280
U.S. [Member] | Global Spine [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	332,846	337,455	304,595
U.S. [Member] | Global Orthopedics [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	25,997	24,490	22,685
International [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	101,870	102,534	79,282
International [Member] | Global Spine [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	20,328	21,508	17,140
International [Member] | Global Orthopedics [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	$ 81,542	$ 81,026	$ 62,142