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-9\left(x+4\right)+2\left(x+10\right)=144
Multiply both sides of the equation by 18, the least common multiple of -2,9.
-9x-36+2\left(x+10\right)=144
Use the distributive property to multiply -9 by x+4.
-9x-36+2x+20=144
Use the distributive property to multiply 2 by x+10.
-7x-36+20=144
Combine -9x and 2x to get -7x.
-7x-16=144
Add -36 and 20 to get -16.
-7x=144+16
Add 16 to both sides.
-7x=160
Add 144 and 16 to get 160.
x=\frac{160}{-7}
Divide both sides by -7.
x=-\frac{160}{7}
Fraction \frac{160}{-7} can be rewritten as -\frac{160}{7} by extracting the negative sign.