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Business Segment Information - Summary of EBIDTA by Reporting Segment (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Segment Reporting Information [Line Items]    
Segment Adjusted EBITDA $ 19,489 $ 18,398
Interest expense, net 4,506 4,558
Depreciation and amortization 34,431 14,862
Share-based compensation expense 6,469 8,800
Foreign exchange impact (1,044) 1,588
SeaSpine merger-related costs 1,130 4,479
Restructuring costs and impairments related to M6 product lines 12,126  
Strategic investments 3,514 120
Acquisition-related fair value adjustments (610) 4,217
Interest and loss on investments   (260)
Litigation and investigation costs 3,042 2,260
Succession charges   2,210
Loss before income taxes (52,133) (35,169)
Global Spine [Member]    
Segment Reporting Information [Line Items]    
Segment Adjusted EBITDA 19,516 19,889
Global Orthopedics [Member]    
Segment Reporting Information [Line Items]    
Segment Adjusted EBITDA (27) (1,491)
Operating Segments [Member]    
Segment Reporting Information [Line Items]    
Segment Adjusted EBITDA 193,646 188,608
Non-GAAP cost of sales 56,458 55,700
Non-GAAP Sales, general, and administrative 110,458 109,959
Non-GAAP Research and development 14,476 19,258
Other segment expenses (benefits) 4,269 (75)
Non-GAAP Depreciation, amortization, and share-based compensation expense 11,504 14,632
Operating Segments [Member] | Global Spine [Member]    
Segment Reporting Information [Line Items]    
Segment Adjusted EBITDA 163,836 161,293
Non-GAAP cost of sales 44,587 44,854
Non-GAAP Sales, general, and administrative 92,538 91,813
Non-GAAP Research and development 11,623 15,946
Other segment expenses (benefits) 4,444 32
Non-GAAP Depreciation, amortization, and share-based compensation expense 8,872 11,241
Operating Segments [Member] | Global Orthopedics [Member]    
Segment Reporting Information [Line Items]    
Segment Adjusted EBITDA 29,810 27,315
Non-GAAP cost of sales 11,871 10,846
Non-GAAP Sales, general, and administrative 17,920 18,146
Non-GAAP Research and development 2,853 3,312
Other segment expenses (benefits) (175) (107)
Non-GAAP Depreciation, amortization, and share-based compensation expense 2,632 3,391
Corporate, Non-Segment [Member]    
Segment Reporting Information [Line Items]    
Segment Adjusted EBITDA $ 8,058 $ 10,733