Where I work they use mostly the pre-tensioned spiral balance system and there are never any problems with them, the only issue that I have with them is that the balance either has to be groved into the sash or the window frame and you can see it, we also use another system called swifsash, I personally would prefer it as it is totally hidden but it is more expensive and it only works efficiently on small windows.
Definately if width is an issue, forget the weights and pulleys.