With large bailouts, maybe with more than two ali80s, the chest area will become mightily crowded.
Backmount keeps the box with your three smaller cylinders (oxygen, diluent and drysuit air) behind you so your front and sides can be cluttered with bailouts.
Same issue with SM.
Large BOs, 1,2,3 deco gases, suit gas, suit heat, light(s) you RAPIDLY run out of sides (or chest) for your sidemounts and look like a Christmas tree. At that point you might as well use some of that wasted space on your back - coming full circle to backmount as the best and/or only quasi-clean configuration for the job.