Business Segment Information - Summary of Net Sales by Geographic Destination for Each Reporting Segment (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	$ 464,479	$ 406,562	$ 459,955
Global Spine [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	358,963	321,735	357,221
Global Orthopedics [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	105,516	84,827	102,734
U.S. [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	361,945	327,280	361,939
U.S. [Member] | Global Spine [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	337,455	304,595	335,410
U.S. [Member] | Global Orthopedics [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	24,490	22,685	26,529
International [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	102,534	79,282	98,016
International [Member] | Global Spine [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	21,508	17,140	21,811
International [Member] | Global Orthopedics [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Net sales	$ 81,026	$ 62,142	$ 76,205