How can you sleep with a vertebral compression fracture?

VCF: Presumably you had an accident. Vcf implies a stable fracture, so brace is usually not needed while lying down. I prefer my patients to lie on the stomach if at all possible, as this helps to minimize further collapse and even correct any deformity from the fracture. If this is not tolerable, then whatever is comfortable. No harm in position except flexion (too much pillow, or head up position).

Usual way: Nothing special to do. Just find a position that is most comfortable. Since being in bed is not weight bearing, it is safe.