Consolidated Statements of Changes in Shareholders' Equity - USD ($) $ in Thousands	Total	Common Shares [Member]	Additional Paid-in Capital [Member]	Retained Earnings (Accumulated Deficit) [Member]	Accumulated Other Comprehensive Income (Loss) [Member]
Beginning Balance at Dec. 31, 2020	$ 356,864	$ 1,942	$ 292,291	$ 59,379	$ 3,252
Balance, Shares at Dec. 31, 2020		19,424
Net loss	(38,379)			(38,379)
Other comprehensive income (loss), net of tax	(3,252)				(3,252)
Share-based compensation expense	15,432		15,432
Common shares issued, net	6,269	$ 41	6,228
Common shares issued, net, Shares		413
Ending Balance at Dec. 31, 2021	336,934	$ 1,983	313,951	21,000
Balance, Shares at Dec. 31, 2021		19,837
Net loss	(19,749)			(19,749)
Other comprehensive income (loss), net of tax	(1,376)				(1,376)
Share-based compensation expense	18,443		18,443
Common shares issued, net	2,608	$ 33	2,575
Common shares issued, net, Shares		325
Ending Balance at Dec. 31, 2022	$ 336,860	$ 2,016	334,969	1,251	(1,376)
Balance, Shares at Dec. 31, 2022	20,162,000	20,162
Net loss	$ (151,395)			(151,395)
Other comprehensive income (loss), net of tax	83				83
Share-based compensation expense	35,707		35,707
Common shares issued in connection with SeaSpine merger	376,745	$ 1,605	375,140
Common shares issued in connection with SeaSpine merger, Shares		16,047
Common shares issued, net	730	$ 96	634
Common shares issued, net, Shares		956
Ending Balance at Dec. 31, 2023	$ 598,730	$ 3,717	$ 746,450	$ (150,144)	$ (1,293)
Balance, Shares at Dec. 31, 2023	37,165,000	37,165