Income Taxes - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Components Of Income Tax Expense Benefit [Line Items]
Tax paid (received or refunded) cash	$ 900	$ (900)	$ 4,800
Unremitted foreign earnings	$ 33,600
Minimum percentage of income tax benefit	50.00%
Gross unrecognized tax benefit	$ 3,000	1,700
Net interest and penalties on unrecognized tax benefits	200	100	$ (400)
Accrued interest and penalties related to unrecognized tax benefits	100	900
Unrecognized tax benefits that would impact effective tax rate	400
Unrecognized tax benefits expected reduction		$ (1,637)
Decrease in unrecognized tax benefits, exclusive of interest and penalties	1,200
SeaSpine [Member]
Components Of Income Tax Expense Benefit [Line Items]
Net increase in valuation allowance	116,400
State [Member]
Components Of Income Tax Expense Benefit [Line Items]
Operating loss carry forwards, net of tax	221,400
State [Member] | SeaSpine [Member]
Components Of Income Tax Expense Benefit [Line Items]
Operating loss carry forwards, net of tax	$ 157,900
Operating loss carryforwards, expiration year	2024
State [Member] | Spinal Kinetics [Member]
Components Of Income Tax Expense Benefit [Line Items]
Operating loss carry forwards, net of tax	$ 20,600
Operating loss carryforwards, expiration year	2027
Federal [Member]
Components Of Income Tax Expense Benefit [Line Items]
Operating loss carry forwards, net of tax	$ 331,700
Operating loss carryforwards, expiration year	2026
Research and development credits	$ 4,700
Foreign Tax Authority
Components Of Income Tax Expense Benefit [Line Items]
Operating loss carry forwards, net of tax	$ 129,000
Operating loss carryforwards, expiration year	2041
Research and development credits	$ 900