Condensed Consolidated Statements of Changes in Shareholders' Equity - USD ($) $ in Thousands	Total	Common Shares [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]	Accumulated Other Comprehensive Income (Loss) [Member]
Beginning Balance at Dec. 31, 2022	$ 336,860	$ 2,016	$ 334,969	$ 1,251	$ (1,376)
Balance, Shares at Dec. 31, 2022		20,162,000
Net loss	(60,938)			(60,938)
Other comprehensive income, net of tax	430				430
Share-based compensation expense	13,020		13,020
Common shares issued in connection with SeaSpine merger, Shares		16,047,000
Common shares issued in connection with SeaSpine merger	376,745	$ 1,605	375,140
Common shares issued, net	(1,958)	$ 26	(1,984)
Common shares issued, net, Shares		254,000
Ending Balance at Mar. 31, 2023	664,159	$ 3,647	721,145	(59,687)	(946)
Balance, Shares at Mar. 31, 2023		36,463,000
Beginning Balance at Dec. 31, 2022	336,860	$ 2,016	334,969	1,251	(1,376)
Balance, Shares at Dec. 31, 2022		20,162,000
Net loss	(100,364)
Other comprehensive income, net of tax	1,268
Ending Balance at Jun. 30, 2023	639,985	$ 3,673	735,533	(99,113)	(108)
Balance, Shares at Jun. 30, 2023		36,733,000
Beginning Balance at Mar. 31, 2023	664,159	$ 3,647	721,145	(59,687)	(946)
Balance, Shares at Mar. 31, 2023		36,463,000
Net loss	(39,426)			(39,426)
Other comprehensive income, net of tax	838				838
Share-based compensation expense	13,246		13,246
Common shares issued, net	1,168	$ 26	1,142
Common shares issued, net, Shares		270,000
Ending Balance at Jun. 30, 2023	639,985	$ 3,673	735,533	(99,113)	(108)
Balance, Shares at Jun. 30, 2023		36,733,000
Beginning Balance at Dec. 31, 2023	$ 598,730	$ 3,717	746,450	(150,144)	(1,293)
Balance, Shares at Dec. 31, 2023	37,165,000	37,165,000
Net loss	$ (36,020)			(36,020)
Other comprehensive income, net of tax	633				633
Share-based compensation expense	8,800		8,800
Common shares issued, net	(1,828)	$ 24	(1,852)
Common shares issued, net, Shares		245
Ending Balance at Mar. 31, 2024	570,315	$ 3,741	753,398	(186,164)	(660)
Balance, Shares at Mar. 31, 2024		37,410,000
Beginning Balance at Dec. 31, 2023	$ 598,730	$ 3,717	746,450	(150,144)	(1,293)
Balance, Shares at Dec. 31, 2023	37,165,000	37,165,000
Net loss	$ (69,463)
Other comprehensive income, net of tax	(1,438)
Ending Balance at Jun. 30, 2024	$ 546,004	$ 3,804	764,538	(219,607)	(2,731)
Balance, Shares at Jun. 30, 2024	38,039,000	38,039,000
Beginning Balance at Mar. 31, 2024	$ 570,315	$ 3,741	753,398	(186,164)	(660)
Balance, Shares at Mar. 31, 2024		37,410,000
Net loss	(33,443)			(33,443)
Other comprehensive income, net of tax	(2,071)				(2,071)
Share-based compensation expense	9,959		9,959
Common shares issued, net	1,244	$ 63	1,181
Common shares issued, net, Shares		629
Ending Balance at Jun. 30, 2024	$ 546,004	$ 3,804	$ 764,538	$ (219,607)	$ (2,731)
Balance, Shares at Jun. 30, 2024	38,039,000	38,039,000