A spring back has a groundglass that is not easily removed. A filmholder fits under the groundglass, and a variety of filmholder types work. Here's an article about the many types of 4x5" sheet film holders that are available--
http://www.butzi.net/reviews/filmholders.htm
If you want to shoot medium format rollfilm with a spring back, you have to use a rollfilm holder that slips under the groundglass, and there aren't as many options available as there are for Graflok backs.
A Graflok or International back has a groundglass panel that can be removed easily and has two slides for holding backs or accessories in place. You can use it just like a spring back, or you can remove it to attach, say, a rollfilm back that is too large to fit under the groundglass. With a rangefinder camera, where you can focus just with the rangefinder instead of the groundglass, Grafmatic filmholders are a nice option, because they hold six sheets of film instead of two, and you can cycle quickly through the sheets. A Grafmatic will usually fit under the groundglass in a spring back, but if you have a Graflok, you can remove the groundglass to lighten up the package a bit and use the slides to fasten the Grafmatic to the back.
Littman may be nutty, but he does make a nice camera that does what it's supposed to (focus and frame accurately in a single window, like a 35mm rangefinder camera). Not all of these conversions have a parallax corrected finder, which is Littman's main claim, and Littman will fit the camera with a modern lens, re-cam the rangefinder, and add lens movements--for a price. He may also give the camera a crazy name and exotic finish.