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Segment and Geographical Information - Schedule of Revenues Attributed to Geographic Location (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Total consolidated revenues $ 53,627us-gaap_Revenues $ 51,013us-gaap_Revenues $ 53,167us-gaap_Revenues $ 49,173us-gaap_Revenues $ 53,065us-gaap_Revenues $ 50,196us-gaap_Revenues $ 51,020us-gaap_Revenues $ 50,443us-gaap_Revenues $ 206,980us-gaap_Revenues $ 204,724us-gaap_Revenues $ 196,278us-gaap_Revenues
UNITED STATES                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Total consolidated revenues                 137,060us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_US
134,951us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_US
130,476us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_US
International [Member]                      
Segment Reporting, Revenue Reconciling Item [Line Items]                      
Total consolidated revenues                 $ 69,920us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= atec_InternationalMember
$ 69,773us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= atec_InternationalMember
$ 65,802us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= atec_InternationalMember