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Its not for more slots or for low profile cases.. its for 1 and 2u rack mount installations you fools. There aren't any desktop cases that use them that i know of.
Actually, plenty of systems have used or use vertical riser cards for the expansion boards, going back to the SOL-20 of 1976, if not earlier, as well as the desktop Amiga's. For PCI slots, even then various desktop cases have used the vertical riser cards to maximize space usage while keeping the profile as low as possible. Systems from Apple, Dell, Packard Bell, and various Mac clones certainly used them. Some even used them in tower configurations, such as the Power Computing PowerCenter Pro. You might want to check your facts a bit more before flaming people.
Pegasos I G3/600
MorphOS 1.4.2
128MB RAM
Toshiba DVD-ROM
20GB WDC Hard Disk
Radeon 9000
SB Live! LS 5.1 soundcard