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Income Taxes - Additional Information (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Components Of Income Tax Expense Benefit [Line Items]      
Tax paid (received or refunded) cash $ (0.9) $ 4.8 $ 0.5
Net increase in valuation allowance 7.1    
Unremitted foreign earnings $ 27.0    
Minimum percentage of income tax benefit 50.00%    
Gross unrecognized tax benefit $ 0.7 0.5  
Net interest and penalties on unrecognized tax benefits (0.1) (0.4) $ (0.4)
Accrued interest and penalties related to unrecognized tax benefits 0.9 $ 0.8  
State [Member]      
Components Of Income Tax Expense Benefit [Line Items]      
Operating loss carry forwards, net of tax $ 31.1    
Operating loss carryforwards, expiration year 2027    
State [Member] | Spinal Kinetics [Member]      
Components Of Income Tax Expense Benefit [Line Items]      
Operating loss carry forwards, net of tax $ 20.6    
Federal [Member]      
Components Of Income Tax Expense Benefit [Line Items]      
Operating loss carry forwards, net of tax $ 13.3    
Operating loss carryforwards, expiration year 2026    
Research and development credits $ 1.7    
Foreign Tax Authority      
Components Of Income Tax Expense Benefit [Line Items]      
Operating loss carry forwards, net of tax $ 120.4