Business segment information (Tables)

12 Months Ended

Dec. 31, 2012

Segment Reporting [Abstract]

Business Segments by GBU

Business Segments by GBU:

The table below presents external net sales for continuing operations by GBU reporting segment. Net sales includes product sales and marketing service fees which is comprised of sales of Trinity Evolution® in spine and orthopedic applications.

	External Net Sales by GBU Year ended December 31,
(U.S. Dollars, in thousands)	2012					2011					2010
	Net Sales		Percent of Total Net Sales			Net Sales		Percent of Total Net Sales			Net Sales		Percent of Total Net Sales
	(Restated)		(Restated)			(Restated)		(Restated)			(Restated)		(Restated)
Spine
Spine Repair Implants and Regenerative Biologics	$	142,829		32	%	$	124,415		28	%	$	132,938		29	%
Spine Regenerative Stimulation		159,289		36	%		160,946		37	%		172,574		37	%
Total Spine		302,118		68	%		285,361		65	%		305,512		66	%
Orthopedics		145,463		32	%		156,610		35	%		157,059		34	%
Total Net Sales	$	447,581		100	%	$	441,971		100	%	$	462,571		100	%

Operating Income (Loss) by GBU

The table below presents operating income (loss) from continuing operations by GBU reporting segment:

	Operating Income (Loss) Year Ended December 31,
(U.S. Dollars, in thousands)	2012			2011			2010
	(Restated)			(Restated)			(Restated)
Spine (1)	$	80,528		$	31,173		$	78,451
Orthopedics (2)		13,197			3,779			7,847
Corporate (3)		(17,089	)		(29,052	)		(20,314	)
Total	$	76,636		$	5,900		$	65,984

(1) For 2011, the operating income for the Spine GBU included $43.1 million of expenses in connection with charges related to U.S. Government resolutions.

(2) For 2011, the operating income for the Orthopedics GBU included $6.5 million of expenses in connection with charges related to U.S. Government resolutions.

(3) For 2011, the operating loss for the Corporate GBU included $7.5 million of expenses in connection with charges related to U.S. Government inquiries and $3.2 million of senior management succession charges.

Selected Financial Information by Reporting Segment

The following table presents depreciation and amortization for continuing operations by GBU reporting segment:

	Depreciation and amortization by GBU Year Ended December 31,
(U.S. Dollars, in thousands)	2012		2011		2010
	(Restated)		(Restated)		(Restated)
Spine	$	12,260	$	11,091	$	8,973
Orthopedics		5,605		5,506		6,282
Corporate		280		263		126
Total	$	18,145	$	16,860	$	15,381

Summary of Net Sales by Geographic Destination

Analysis of net sales by geographic destination:

	Net Sales by Geographic Destination Year Ended December 31,
(U.S. Dollars, in thousands)	2012		2011		2010
	(Restated)		(Restated)		(Restated)
U.S.	$	334,624	$	328,585	$	340,328
International:
U.K.		8,431		8,206		12,509
Italy		18,742		17,447		19,181
Brazil		31,166		34,424		31,112
Other		54,618		53,309		59,441
Total international		112,957		113,386		122,243
Total net sales	$	447,581	$	441,971	$	462,571

Analysis of Property, Plant and Equipment of Reporting Segments by Geographic Area

Analysis of property, plant and equipment by geographic area:

(U.S. Dollars, in thousands)	2012		2011
	(Restated)		(Restated)
U.S.	$	39,554	$	33,575
Italy		7,617		7,663
U.K.		1,402		1,449
Brazil		3,421		2,532
Others		1,841		918
Total	$	53,835	$	46,137