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, 2021	$ 336,934	$ 1,983	$ 313,951	$ 21,000
Balance, Shares at Dec. 31, 2021		19,837,000
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		325,000
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
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		16,047,000
Common shares issued, net	730	$ 96	634
Common shares issued, net, Shares		956,000
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	37,165,000
Net loss	$ (125,997)			(125,997)
Other comprehensive income (loss), net of tax	(3,009)				(3,009)
Share-based compensation expense	32,455		32,455
Common shares issued, net	945	$ 132	813
Common shares issued, net, Shares		1,321,000
Ending Balance at Dec. 31, 2024	$ 503,124	$ 3,849	$ 779,718	$ (276,141)	$ (4,302)
Balance, Shares at Dec. 31, 2024	38,486,000	38,486,000