The quadratic complexity of self-attention during the prefill phase impedes long-context inference in large language models. Existing sparse attention methods face a trade-off among context adaptivity, sampling overhead, and fine-tuning costs. We propose VSPrefill, a mechanism requiring lightweight training that uses the vertical-slash structural pattern in attention distributions. Our compact VSIndexer module predicts context-aware importance scores for vertical columns and slash diagonals from key-value representations augmented with RoPE. This approach constructs sparse masks with linear complexity without modifying the backbone parameters. During inference, an adaptive cumulative-threshold strategy allocates sparsity budgets per layer, while a fused kernel executes attention with on-the-fly index merging. Evaluated on Qwen3-4B-Instruct and LLaMA-3.1-8B-Instruct across the LongBench and RULER benchmarks, VSPrefill preserves 98.35% of the full attention accuracy while delivering a 4.95x average speedup at a context length of 128k. These results establish a new Pareto frontier in the trade-off between accuracy and efficiency.