Here's my best attempt....
The top factors as 18 (x - 5) ( x - 2)
The bottom factors as (x + 1) ( x - 5) ( x - 2)
So we are left with 18 / (x + 1)
The divisors of 18 are ± (1, 2, 3, 6, 9, 18)
This means that we have integer values when x = -2 , -3 -4, -7, -10, -19, 0, 1, 5, 8, 17
Note that we cannot use x = -1 or x = 2 because they make an original denominator = 0
So the sum of these integer values are - 45 + 31 = - 14