Alembic being out ( http://pypi.python.org/pypi/alembic ) and maintained by SQLAlchemy author and given the fact that sqlalchemy-migrate development looks stalled, with practically no commits this year ( http://code.google.com/p/sqlalchemy-migrate/source/list ), I think it's not worth using it anymore, I'll switch my current project to Alembic.
If it was still heavily maintained, I would be confident on the ability of the project to keep synchronised with SQLAlchemy ( Which was the case before ).