for the reasons noted by others (sli design, double thick video coolers, etc.) motherboard space is at a premium. I know there are productas that plug into a 4x pci-e slot and have a special cable coming out the back that connects to the backplane of another box that houses the pci cards. kind of expensive but if you have a lot of $ invested in pci sound cards (think lynx) or possibly a slew of cards from national instruments (for example whose job it is to monitor chemical processes in real time or monitor the outcome of particle accelerators) then it's kinda hard to throw all that stuff out.
regarding the space argument, my antec case has an inch of free space between the card and the case. so that homemade adapter in the picture above would work- i just dont know where to get it.
regarding getting a board with a lot of pci slots, there arent that many good overclockable ones that accept amd 939, have sata, and 4 usable pci slots when the pciex16 video slot is occupied by a double thick video card cooler.