What about the hack squat machine? Should have good support for your back?
trapz101, leg extentions get a bad wrap because of the way the weight sits on the ankle and how that puts "sheer" pressure on the knee, personally I do them and heavy and I have yet to have any problems from them.
Hacks are a good alternative to squats but with a bad back I don't know how they work for the op. I am up to five plates a side for 10. I've done leg extensions for yeeeeeears and have never had any knee issues.