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SUMMARY OF SIGNIFICANT ACCOUNT POLICIES - Narrative (Details) (USD $)
12 Months Ended 12 Months Ended 3 Months Ended 12 Months Ended 3 Months Ended 12 Months Ended 3 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2013
Europe
Dec. 31, 2012
Europe
Dec. 31, 2013
Technology
Dec. 31, 2012
Technology
Dec. 31, 2011
Technology
Dec. 31, 2011
Trade Name
Dec. 31, 2013
In-Process Research And Development
Dec. 31, 2012
Technology
Dec. 31, 2011
Trade Name
indefinite_lived_trade_name_asset
Sep. 30, 2013
U.S. Spine
Dec. 31, 2013
U.S. Spine
Dec. 31, 2013
Property, Plant and Equipment
Dec. 31, 2012
Property, Plant and Equipment
Dec. 31, 2011
Property, Plant and Equipment
Dec. 31, 2013
Computer Equipment
Dec. 31, 2013
Out-of-period Adjustment
Dec. 31, 2012
Out-of-period Adjustment
Dec. 31, 2012
First Three Quarters of 2012
Out-of-period Adjustment
Dec. 31, 2012
Full Year 2011
Out-of-period Adjustment
Dec. 31, 2012
Last Quarter of 2010
Out-of-period Adjustment
Dec. 31, 2013
Sales Revenue, Net
Dec. 31, 2012
Sales Revenue, Net
Dec. 31, 2011
Sales Revenue, Net
Dec. 31, 2013
Deferred tax accounts in 2011 error
Out-of-period Adjustment
Summary Of Significant Accounting Policies [Line Items]                                                        
Provision (benefit) for income taxes $ (7,813,000) $ 10,825,000 $ 505,000                                 $ 1,000,000               $ 900,000
Goodwill impairment charge 46,738,000 0 0                     46,700,000                            
Goodwill Tax Deductible Amount                             16,200,000                          
Inventory, Medical Device Tax 6,500,000                                                      
Depreciation expense                               27,600,000 27,500,000 25,500,000                    
Interest expense capitalized to property, plant, and equipment 3,200,000 3,900,000                                                    
Capitalized interest   2,100,000 1,400,000 400,000                                 3,300,000 1,500,000 1,400,000 400,000        
Goodwill, gross   294,067,000                                                    
Impairment charges                 2,100,000 200,000 400,000 100,000 900,000                              
Number of intangible assets no longer in use due to rebranding                         1                              
Amortization expense 19,400,000 25,100,000 24,600,000                                                  
Annual amortization expense expected to approximate in 2014 18,400,000                                                      
Annual amortization expense expected to approximate in 2015 16,500,000                                                      
Annual amortization expense expected to approximate in 2016 14,300,000                                                      
Annual amortization expense expected to approximate in 2017 12,500,000                                                      
Annual amortization expense expected to approximate in 2018 12,100,000                                                      
Amortization expense, incldued in cost of product revenues             6,700,000 6,600,000 8,200,000                                      
Charitable contributions 600,000 1,000,000 300,000                                                  
Distribution and handling costs 14,100,000 13,600,000 11,500,000                                                  
Extended warranties, in years 2 years                                                      
Accrued warranty expense 300,000 400,000                                                    
Capitalized research and development costs 300,000 0                                                    
Pension contributions 800,000 800,000 1,100,000                                                  
Accounts receivables from certain European countries customers         6,100,000 4,300,000                                            
Accounts receivable reserved from certain European countries         700,000 400,000                                            
Concentration risk, percentage                                                 10.00% 10.00% 10.00%  
Interest paid 9,500,000 12,000,000 13,200,000                                                  
Interest paid, capitalized 3,200,000 2,100,000                                                    
Income taxes paid 7,600,000 12,700,000 14,500,000                                                  
Capital expenditures incurred but not yet paid 8,600,000 9,500,000 6,400,000                                                  
Capital Leased Assets, Gross                                     1,600,000                  
Capital Leases, Lessee Balance Sheet, Assets by Major Class, Accumulated Depreciation                                     100,000                  
Capital Lease Obligations $ 1,600,000