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Acquisition of Spinal Kinetics, Inc. - Additional Information (Detail) - USD ($)
$ in Thousands
8 Months Ended 12 Months Ended
Apr. 30, 2018
Dec. 31, 2018
Dec. 31, 2018
Dec. 31, 2017
Mar. 15, 2018
Business Acquisition [Line Items]          
Increase in the fair value of a contingent consideration     $ 3,069    
Goodwill   $ 72,401 72,401 $ 53,565  
Spinal Implants [Member]          
Business Acquisition [Line Items]          
Goodwill   18,836 18,836    
Spinal Kinetics [Member]          
Business Acquisition [Line Items]          
Business acquisition date Apr. 30, 2018        
Business acquisition conversion of shares into net cash subject to adjustments $ 45,000        
Business acquisition, percentage of outstanding stock         100.00%
Fair value of the consideration transferred $ 76,055   76,600    
Milestone achievement period 5 years        
Contingent consideration $ 25,500 28,600 28,600    
Goodwill 17,182 18,836 18,836    
Acquisition related costs     3,300 $ 800  
Revenue from acquisition     8,700    
Net loss from Acquisition     5,800    
Spinal Kinetics [Member] | Spinal Implants [Member]          
Business Acquisition [Line Items]          
Goodwill   18,800 18,800    
Spinal Kinetics [Member] | Operating Expense [Member]          
Business Acquisition [Line Items]          
Increase in the fair value of a contingent consideration   $ 3,100 $ 1,400    
Spinal Kinetics [Member] | US Food And Drug Administration [Member]          
Business Acquisition [Line Items]          
Future milestone payments 15,000        
Spinal Kinetics [Member] | Revenue Milestone [Member]          
Business Acquisition [Line Items]          
Future milestone payments 45,000        
Spinal Kinetics [Member] | Maximum [Member]          
Business Acquisition [Line Items]          
Future milestone payments $ 60,000