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Share-based Compensation - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Aug. 05, 2019
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Shares issued under stock purchase plan, stock option exercises and restricted stock awards and units   43,603 50,928 295,496 257,833
Share-based compensation expense   $ 5,844 $ 5,261 $ 17,378 $ 14,392
Transition and Retirement Agreement [Member]          
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Share based compensation, post-termination exercise period original term       18 months  
Maximum [Member] | Transition and Retirement Agreement [Member]          
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Share based compensation, post-termination exercise period revised term       4 years  
President and Chief Executive Officer [Member] | Transition and Retirement Agreement [Member]          
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Share-based compensation expense   $ 2,200   $ 5,900  
Employment Agreement [Member] | Global Spine [Member] | Inducement Grants [Member]          
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]          
Share issued under restricted stock units and stock options, value $ 1,500